Organization
NEW WAY MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYNN HASTIE DNP, FNP-C (MANAGER/ OWNER)
(413) 754-9650
Entity
Organization
Contact information
Practice address
1200 CONVERSE ST STE 202A, LONGMEADOW, MA 01106-1760
(413) 478-9244
Mailing address
444A N MAIN ST # 303, EAST LONGMEADOW, MA 01028-1845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/27/2024
Last updated
10/11/2024
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