Organization
FULL BODY FAMILY HEALTH NP, P.C.
Active
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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