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Organization

INTEGRATIVE WELLNESS FAMILY HEALTH NP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAKEISHA NICHOLLS NP (OPERATING MANAGER)
(845) 204-8608
Entity
Organization

Contact information

Practice address
99 MAIN ST #542, NYACK, NY 10960-3109
(845) 204-8608
Mailing address
99 MAIN ST #542, NYACK, NY 10960-3109
(845) 204-8608

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
08/18/2023
Last updated
08/18/2023
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