| NPI | 1013457340 |
|---|---|
| Doing Business As | WELLINGTONMD |
| Entity Type | Organization |
| Authorized Contact | BRIAN LIPARI President 631-987-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2020-03-21 |