Organization
FULL BODY FAMILY HEALTH NP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARSHALETTE GILLINGS NP (EMPLOYEE)
(631) 530-0919
Entity
Organization
Contact information
Practice address
160 NEW YORK AVE, WEST BABYLON, NY 11704-2803
(631) 539-0919
Mailing address
160 NEW YORK AVE, WEST BABYLON, NY 11704-2803
(631) 539-0919
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
207KA0200X
Allergy Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
246Z00000X
Other Specialist/Technologist
—
—
247200000X
Other Technician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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