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Organization
ELITE MEDICAL WELLNESS CENTER P.C.
Active
Organization
ELITE MEDICAL WELLNESS CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY MURRAY (PROJECT MANAGER)
(203) 858-3531
Entity
Organization
Contact information
Practice address
106 NOROTON AVE, DARIEN, CT 06820-5237
(203) 202-7688
Mailing address
99 DUTCH HILL RD, ORANGEBURG, NY 10962-2185
(203) 202-7688
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
NULL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
207KA0200X
Allergy Physician
—
NULL
207KA0200X
Allergy Physician
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
NULL
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
NULL
207QA0505X
Adult Medicine Physician
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
NULL
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
NULL
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
—
NULL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
06/22/2021
Last updated
12/21/2023
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