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Organization
VIRTUAL MEDICINE WELLNESS
Active
Organization
VIRTUAL MEDICINE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R. POWELL MD (CEO)
(631) 650-2087
Entity
Organization
Contact information
Practice address
60 BUCCANEER LN, SETAUKET, NY 11733-1968
(631) 650-2087
(631) 650-0497
Mailing address
60 BUCCANEER LN, SETAUKET, NY 11733-1968
(631) 650-2087
(631) 650-0497
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207KA0200X
Allergy Physician
—
—
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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