OrganizationActive
Community Medical Wellness PC
NPI 1073002473 · Pain Medicine Physician · Port Jefferson Station, NY
Provider details
- NPI number
- 1073002473
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Defilippis, Operations Manager(516) 314-5377
- License
- 276810-1 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1041 Route 112
Port Jefferson Station, NY 11776-6000
Phone: (516) 314-5377
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 463
Farmingville, NY 11738-0463
Registry dates
- Enumerated
- 2018-05-02
- Last updated
- 2018-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.