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General NPI Number Information
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NPI Number | 1982011342
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN HEALTH & WELLNESS CORP.
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 294 W MERRICK RD STE. #6
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City | FREEPORT
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State | NY
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Zip | 11520-3374
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Country | US
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Telephone | 516-279-5484
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Fax |
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Provider Business Mailing Address
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Address Line | 294 W MERRICK RD STE 1
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City | FREEPORT
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State | NY
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Zip | 11520-3357
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Country | US
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Telephone | 516-279-5484
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Fax | 516-279-5484
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Authorized Official
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Title or Position | NURSE PRACTITIONER, OWNER
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Name | MS. JENNY DELALEU
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Credential | FNP-BC
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Telephone | 516-279-5484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | F33-4623
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License Number State | NY
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