| Custom Fit Wellness | |
|
1808 Middle Country Rd Ridge NY 11961-2406 | |
| (516) 946-9417 | |
| Not Available |
| Full Name | Custom Fit Wellness |
|---|---|
| Speciality | Clinic/center |
| Location | 1808 Middle Country Rd, Ridge, New York |
| Authorized Official Name and Position | Susan Yeoman (OWNER) |
| Authorized Official Contact | 5169469417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Fit Wellness 458 Randall Rd Ridge NY 11961-2102 Ph: (516) 946-9417 | Custom Fit Wellness 1808 Middle Country Rd Ridge NY 11961-2406 Ph: (516) 946-9417 |
| NPI Number | 1609647122 |
|---|---|
| Provider Enumeration Date | 01/12/2024 |
| Last Update Date | 01/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609647122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Gpc Consultants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 681 Whiskey Rd Unit 2, Ridge, NY 11961 Phone: 631-675-0488 Fax: 631-910-2022 |