Organization
VALHALLA MEDICS, LLC
Active
Other names
Nature Freak Lifestyle, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP D'AGOSTINO (CEO)
(516) 266-6186
Entity
Organization
Contact information
Practice address
92-18 ROCKAWAY BEACH BLVD, ROCKAWAY BEACH, NY 11693
(516) 266-6186
(445) 800-8689
Mailing address
92-18 ROCKAWAY BEACH BLVD, ROCKAWAY BEACH, NY 11693
(516) 266-6186
(445) 800-8689
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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