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1093432445
COAST TO COAST MEDICAL WELLNESS, PLLC
MELVILLE, NY
NPI
1093432445
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Entity Type
Organization
Authorized Contact
GREGORY RAYMOND BREVETTI
Cmo
917-575-8907
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2022-10-26
Last Update Date
2022-10-26
Business Address
COAST TO COAST MEDICAL WELLNESS, PLLC
150 BROADHOLLOW RD STE 222
MELVILLE, NY 11747-4901
Phone number: 631-343-4184
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Mailing Address
COAST TO COAST MEDICAL WELLNESS, PLLC
1500 ROUTE 112 BLDG 8
PORT JEFFERSON STATION, NY 11776-8054
Phone number: 631-343-4184
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