Organization · NPI-2

Adra Medical PLLC

· Islandia, NY

NPI number1427949759
StatusActive
Last updated in NPPESJul 14, 2025

Details

NPI
1427949759
Entity type
Organization (NPI-2)
Legal business name
Adra Medical PLLC
Organization subpart
No
Enumeration date
Jul 14, 2025
Certification date
Jul 14, 2025
Last updated
Jul 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0000X ––Yes

Practice location

1050 Old Nichols Rd
Islandia, NY 11749-5026

Phone 631-828-4545 · Fax 631-209-5783

Mailing address

1050 Old Nichols Rd
Islandia, NY 11749-5026

Phone 631-828-4545 · Fax 631-209-5783

Authorized official

Nicole Coffaro
Operations Manager
6318284545

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