Organization
NORTH FORK MEDICAL PLLC
Active
Other names
Balanced Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
NEETA MITCHELL RN (OFFICE MANAGER)
(631) 886-1500
Entity
Organization
Contact information
Practice address
6278 ROUTE 25A STE 4, WADING RIVER, NY 11792-2009
(631) 886-1500
(631) 886-1831
Mailing address
6278 ROUTE 25A STE 4, WADING RIVER, NY 11792-2009
(631) 886-1500
(631) 886-1831
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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