Organization
PORT JEFFERSON MEDICAL WELLNESS PLLC
Active
Other names
Messi Medical Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANN MELICHAREK MD (OWNER)
(516) 286-4441
Entity
Organization
Contact information
Practice address
595 ROUTE 25A STE B, MILLER PLACE, NY 11764-2646
(631) 849-1586
Mailing address
85 S OCEAN AVE, PATCHOGUE, NY 11772-3702
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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