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Contact Information

WILD ROOTS WELLNESS INC.
45 E MAIN ST
RIVERHEAD, NY11901-2422
 Phone: 631-740-9595
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for WILD ROOTS WELLNESS INC.

NPI Number 1376249698
LBN Legal business name WILD ROOTS WELLNESS INC.
Authorized official SARA GALLITTO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2023
Last updated 02/07/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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