| Blue Lotus Medical Wellness, P.c. | |
|
245 Conklin St Farmingdale NY 11735-2659 | |
| (917) 589-5109 | |
| Not Available |
| Full Name | Blue Lotus Medical Wellness, P.c. |
|---|---|
| Speciality | General Practice |
| Location | 245 Conklin St, Farmingdale, New York |
| Authorized Official Name and Position | Sanjay Shetty (OWNER) |
| Authorized Official Contact | 9175895109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Lotus Medical Wellness, P.c. 245 Conklin St Farmingdale NY 11735-2659 Ph: (917) 589-5109 | Blue Lotus Medical Wellness, P.c. 245 Conklin St Farmingdale NY 11735-2659 Ph: (917) 589-5109 |
| NPI Number | 1316702988 |
|---|---|
| Provider Enumeration Date | 02/13/2024 |
| Last Update Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316702988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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