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Organization

L'ELITE MEDISPA INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHINA LUKES-MILLEDGE NP (NURSE PRACTITIONER/OWNER)
(631) 455-1965
Entity
Organization

Contact information

Practice address
506B WALT WHITMAN RD, MELVILLE, NY 11747-2109
(631) 824-6648
(631) 824-9039
Mailing address
273 WALT WHITMAN RD STE 190, HUNTINGTON STATION, NY 11746-4149
(631) 824-6648
(631) 824-9039

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
04/14/2021
Last updated
04/14/2021
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