Organization
UNKECHAUG NATION COMMUNITY CARE
Active
Other names
1658 Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY MILLER (DIRECTOR)
(631) 307-8824
Entity
Organization
Contact information
Practice address
151 POOSPATUCK LN, MASTIC, NY 11950-5225
(631) 307-8824
Mailing address
140B POOSPATUCK LN, MASTIC, NY 11950-5223
(631) 307-8824
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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