Organization
LIFETIME MEDICAL WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONIT ADLER MD (OWNER)
(516) 382-4039
Entity
Organization
Contact information
Practice address
275 ROUTE 25A STE 32, MILLER PLACE, NY 11764-2427
(631) 500-5433
Mailing address
275 ROUTE 25A STE 32, MILLER PLACE, NY 11764-2427
(631) 500-5433
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
12/08/2022
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