# BE TOTALLY WELL LLC

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

## Provider details

- **NPI number:** 1851075345
- **Authorized official:** MRS. CANDACE NICOLEAU NP (NURSE PRACTITIONER/OWNER)
- **Authorized official phone:** (347) 869-1581

## Contact information

- **Practice address:** 2570 HEMPSTEAD TPKE UNIT 2, EAST MEADOW, NY 11554-2146
- **Practice address phone:** (516) 548-0600
- **Practice address fax:** (516) 548-0605
- **Mailing address:** 980 CRAMER CT, NORTH BALDWIN, NY 11510-1215
- **Mailing address phone:** (347) 869-1581

## Taxonomy

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

## Other

- **Enumeration date:** 06/14/2023
- **Last updated:** 07/16/2025
