| NPI | 1720736705 |
|---|---|
| Former Legal Business Name | NATURE FREAK LIFESTYLE, LLC |
| Entity Type | Organization |
| Authorized Contact | PHILIP D'AGOSTINO CEO 516-266-6186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-03-17 |