Healthcare Provider Details

I. General information

NPI: 1700752706
Provider Name (Legal Business Name): WELLNESS BY FRANK ALBANO NP IN ADULT HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 GILBERT AVE STE 102A
SMITHTOWN NY
11787-5326
US

IV. Provider business mailing address

97 COLONY DR
HOLBROOK NY
11741-2838
US

V. Phone/Fax

Practice location:
  • Phone: 631-888-3168
  • Fax: 877-395-5429
Mailing address:
  • Phone: 631-888-3168
  • Fax: 877-395-5429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: FRANK ALBANO
Title or Position: PROVIDER/OWNER
Credential: AGNP-C
Phone: 516-449-0616