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Organization
MCEVILLEY FOREVER YOUNG WELLNESS, LTD.
Active
Organization
MCEVILLEY FOREVER YOUNG WELLNESS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE DANIELS FNP (OWNER)
(347) 439-4983
Entity
Organization
Contact information
Practice address
50 BROADWAY, GREENLAWN, NY 11740-1336
(347) 439-4983
Mailing address
50 BROADWAY, GREENLAWN, NY 11740-1336
(347) 439-4983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
04/28/2021
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