Refined Medical Wellness, Pllc

LBN: Refined Medical Wellness, Pllc
Refined Medical Wellness, Pllc is an health care organization with primary practice located at 3400 Nesconset Hwy Ste 104 , East Setauket NY 11733-3327. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Refined Medical Wellness, Pllc can be contacted via phone (516) 704-7447, or through Gavilanes, Nycholle via phone (516) 704-7447.

Contact Information

Primary practice address
3400 Nesconset Hwy Ste 104 East Setauket NY 11733-3327
Phone: (516) 704-7447
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gavilanes, Nycholle Doctor of Medicine (MD)
Phone: (516) 704-7447

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1831961796
LBN Legal business name Refined Medical Wellness, Pllc
DBA Doing business as
Authorized official Gavilanes, Nycholle Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2023
Last updated Oct 24th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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