Organization
PROGRESSED MEDICAL PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BO HEADLAM (FOUNDER)
(646) 895-1174
Entity
Organization
Contact information
Practice address
68 S SERVICE RD STE 100, MELVILLE, NY 11747-2350
(646) 895-1174
Mailing address
68 S SERVICE RD STE 100, MELVILLE, NY 11747-2350
(646) 895-1174
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2022
Last updated
03/06/2025
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