| Mind And Body Wellness | |
|
1300 Montauk Hwy Oakdale NY 11769-1339 | |
| (631) 404-6431 | |
| Not Available |
| Full Name | Mind And Body Wellness |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1300 Montauk Hwy, Oakdale, New York |
| Authorized Official Name and Position | Deirdre Lee Russo (OWNER) |
| Authorized Official Contact | 6314046431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind And Body Wellness 1300 Montauk Hwy Oakdale NY 11769-1339 Ph: (631) 404-6431 | Mind And Body Wellness 1300 Montauk Hwy Oakdale NY 11769-1339 Ph: (631) 404-6431 |
| NPI Number | 1477233187 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 07/19/2023 |
| Certification Date | 07/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477233187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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