# GOLD COAST MEDICAL WELLNESS, PLLC

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

## Provider details

- **NPI number:** 1285223933
- **Authorized official:** DR. ROBERT J AQUINO MD (PRESIDENT)
- **Authorized official phone:** (631) 547-4100

## Contact information

- **Practice address:** 700 NEW YORK AVE, HUNTINGTON, NY 11743-4264
- **Practice address phone:** (631) 547-4100
- **Practice address fax:** (631) 923-2907
- **Mailing address:** 700 NEW YORK AVE, HUNTINGTON, NY 11743-4264
- **Mailing address phone:** (631) 547-4100
- **Mailing address fax:** (631) 923-2907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2021
- **Last updated:** 01/15/2021