Organization
GOLD COAST MEDICAL WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J AQUINO MD (PRESIDENT)
(631) 547-4100
Entity
Organization
Contact information
Practice address
700 NEW YORK AVE, HUNTINGTON, NY 11743-4264
(631) 547-4100
(631) 923-2907
Mailing address
700 NEW YORK AVE, HUNTINGTON, NY 11743-4264
(631) 547-4100
(631) 923-2907
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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