| Regenerative Wellness Inc. | |
|
23 Green St Ste 100a Huntington NY 11743-3336 | |
| (631) 304-4385 | |
| Not Available |
| Full Name | Regenerative Wellness Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 23 Green St Ste 100a, Huntington, New York |
| Authorized Official Name and Position | Crystal Lynn Frare (VICE PRESIDENT) |
| Authorized Official Contact | 6317410724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenerative Wellness Inc. 23 Green St Ste 100a Huntington NY 11743-3336 Ph: (631) 304-4385 | Regenerative Wellness Inc. 23 Green St Ste 100a Huntington NY 11743-3336 Ph: (631) 304-4385 |
| NPI Number | 1386410116 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386410116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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