NPI | 1093863565 |
---|---|
Doing Business As | FAMILY WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | ROBERT S. BUDD CEO 631-273-1300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 5157205R) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2010-11-17 |