Healthcare Provider Details

I. General information

NPI: 1003736323
Provider Name (Legal Business Name): WHOLE COMPLETE HEALTH NP IN FAMILY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13740 LAURELTON PKWY
ROSEDALE NY
11422-1708
US

IV. Provider business mailing address

13740 LAURELTON PKWY
ROSEDALE NY
11422-1708
US

V. Phone/Fax

Practice location:
  • Phone: 917-277-7601
  • Fax: 917-970-9762
Mailing address:
  • Phone: 917-277-7601
  • Fax: 917-970-9762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID LEE HYLTON
Title or Position: OWNER
Credential: NP
Phone: 917-277-7601