Organization
MINDFUL MED MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL LEE NP (OWNER)
(631) 509-7488
Entity
Organization
Contact information
Practice address
100 MARINERS WAY, PORT JEFFERSON, NY 11777-1848
(631) 991-0052
Mailing address
100 MARINERS WAY, PORT JEFFERSON, NY 11777-1848
(631) 509-7488
(631) 778-8004
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
04/17/2025
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