# INTEGRATED WELLNESS, NP IN ADULT HEALTH, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043035025
- **Authorized official:** JARRETT BUDA (MANAGER)
- **Authorized official phone:** (516) 280-9600

## Contact information

- **Practice address:** 990 STEWART AVE STE LL30, GARDEN CITY, NY 11530-4822
- **Practice address phone:** (516) 280-9600
- **Practice address fax:** (516) 280-9599
- **Mailing address:** 990 STEWART AVE STE LL30, GARDEN CITY, NY 11530-4822
- **Mailing address phone:** (516) 280-9600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2024
- **Last updated:** 11/15/2024
