Organization
GEOMARE WELLNESS CENTER LLC
Active
Organization
GEOMARE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS M ALIMANESTIANU (OWNER)
(631) 255-5500
Entity
Organization
Contact information
Practice address
80 WHITE ST, SOUTHAMPTON, NY 11968-4034
(631) 255-5500
Mailing address
80 WHITE ST, SOUTHAMPTON, NY 11968-4034
(631) 255-5500
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
28AV1123730
NY
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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