| Mcevilley Forever Young Wellness, Ltd. | |
|
50 Broadway Greenlawn NY 11740-1336 | |
| (347) 439-4983 | |
| Not Available |
| Full Name | Mcevilley Forever Young Wellness, Ltd. |
|---|---|
| Speciality | Family Medicine |
| Location | 50 Broadway, Greenlawn, New York |
| Authorized Official Name and Position | Candice Daniels (OWNER) |
| Authorized Official Contact | 3474394983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcevilley Forever Young Wellness, Ltd. 50 Broadway Greenlawn NY 11740-1336 Ph: (347) 439-4983 | Mcevilley Forever Young Wellness, Ltd. 50 Broadway Greenlawn NY 11740-1336 Ph: (347) 439-4983 |
| NPI Number | 1194302950 |
|---|---|
| Provider Enumeration Date | 03/26/2021 |
| Last Update Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194302950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |