| 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 |