Organization
NUWAVE MEDICAL PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE MARTINO (OFFICE MANAGER)
(631) 343-7144
Entity
Organization
Contact information
Practice address
1056 W JERICHO TPKE, SMITHTOWN, NY 11787-3212
(631) 343-7144
(631) 486-9102
Mailing address
1056 W. JERICHO TPKE, SMITHTOWN, NY 11787
(631) 343-7144
(631) 486-9102
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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