ACTION WELLNESS NP IN FAMILY HEALTH PLLC; NPI #1295493187

Contact Information

ACTION WELLNESS NP IN FAMILY HEALTH PLLC

116 N HURON ST
RONKONKOMA, NY 11779-3532

Phone: 631-500-0388
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for ACTION WELLNESS NP IN FAMILY HEALTH PLLC

NPI # 1295493187

LBN Legal business name ACTION WELLNESS NP IN FAMILY HEALTH PLLC

Authorized official MELINDA CLARKE - (OWNER/SOLE MEMBER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/07/2021

Last updated 05/23/2024 - About 2 years ago

Identifiers

	Other	1184999344	NPPES - NPI NUMBER
NY	Other	344753	NURSE PRACTITIONER LICENSE
NY	Other	405889	NYSED BOARD OF NURSING

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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ACTION WELLNESS NP IN FAMILY HEALTH PLLC

Contact Information

Specialty

Family

NPI Profile & details for ACTION WELLNESS NP IN FAMILY HEALTH PLLC

Reviews for ACTION WELLNESS NP IN FAMILY HEALTH PLLC