Organization
PEEMED EXPRESS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRINCE ACHOAKAWA (OWNER)
(307) 461-9213
Entity
Organization
Contact information
Practice address
15 S VILLAGE DR, BELLPORT, NY 11713-1215
(917) 968-9607
Mailing address
15 S VILLAGE DR, BELLPORT, NY 11713-1215
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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