COAST TO COAST MEDICAL WELLNESS, PLLC - NPI 1093432445

Q: What is Coast To Coast Medical Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

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About Coast To Coast Medical Wellness, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COAST TO COAST MEDICAL WELLNESS, PLLC (NPI 1093432445) is a healthcare organization registered as a specialist in Melville, New York and active in the NPI registry since October 2022. The organization lists Gregory Raymond Brevetti, Cmo, as its authorized official.

NPPES Registry Identity

NPI1093432445

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCOAST TO COAST MEDICAL WELLNESS, PLLC

Location Address150 BROADHOLLOW RD STE 222Melville, NY 11747-4901

Mailing Address1500 Route 112 Bldg 8Port Jefferson Station, NY 11776-8054 · (631) 343-4184

Phone(631) 343-4184

Organization SubpartNo

Authorized OfficialGregory Raymond BrevettiCmo · (917) 575-8907

Enumeration DateOctober 26, 2022

NPPES CertifiedOctober 26, 2022

✔ NPI 1093432445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

150 BROADHOLLOW RD STE 222, Melville, NY 11747

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. EDWARD BALZER PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

150 BROADHOLLOW RD STE 222
MELVILLE, NY 11747

Suffolk County (631) 203-7144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coast To Coast Medical Wellness, PLLC's NPI number?

The NPI number for Coast To Coast Medical Wellness, PLLC is 1093432445. It was assigned to this organization in the NPPES registry on October 26, 2022.

Where is Coast To Coast Medical Wellness, PLLC located?

Coast To Coast Medical Wellness, PLLC is located at 150 Broadhollow Rd Ste 222, Melville, NY 11747. The listed phone number is (631) 343-4184.

What is Coast To Coast Medical Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Coast To Coast Medical Wellness, PLLC was last updated on October 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.