Unkechaug Nation Community Care
Community Health Worker in Mastic, NY. Organization (NPI-2).
NPI number1942007158
StatusActive
Last updated in NPPESFeb 26, 2025
Details
- NPI
- 1942007158
- Entity type
- Organization (NPI-2)
- Legal business name
- Unkechaug Nation Community Care
- Organization subpart
- No
- Enumeration date
- Feb 26, 2025
- Certification date
- Feb 26, 2025
- Last updated
- Feb 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Other names
- 1658 Wellness (Doing Business As)
Practice location
151 Poospatuck LnMastic, NY 11950-5225
Phone 631-307-8824
Mailing address
140b Poospatuck LnMastic, NY 11950-5223
Phone 631-307-8824
Other practice locations
140b Poospatuck Ln
Mastic, NY 11950-5223
Mastic, NY 11950-5223
Phone 631-307-8824
Authorized official
Barry Miller
Director
6313078824
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