Organization
REGENERATIVE WELLNESS INC.
Active
Organization
REGENERATIVE WELLNESS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL LYNN FRARE RN (VICE PRESIDENT)
(631) 741-0724
Entity
Organization
Contact information
Practice address
23 GREEN ST STE 100A, HUNTINGTON, NY 11743-3336
(631) 304-4385
Mailing address
23 GREEN ST STE 100A, HUNTINGTON, NY 11743-3336
(631) 304-4385
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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