Organization
THRIVEWELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERREN FAUSTINI (CEO)
(917) 747-0081
Entity
Organization
Contact information
Practice address
555 LEFFERTS AVE, BROOKLYN, NY 11225-4543
(917) 747-0081
Mailing address
74 ROXEN RD, ROCKVILLE CENTRE, NY 11570-1513
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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