Organization
UNIQUE YOU MEDICAL WELLNESS
Active
Other names
Refined Medical Wellness NY
Organization subpart
No
Provider details
NPI number
Authorized official
NYCHOLLE GAVILANES MD (MEMBER)
(631) 219-5133
Entity
Organization
Contact information
Practice address
8 TECHNOLOGY DRIVE, SUITE 104, EAST SETAUKET, NY 11733
(516) 704-7447
Mailing address
50 SOUTHVIEW CIR, LAKE GROVE, NY 11755-2239
(631) 219-5133
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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