OrganizationActive
Lifetime Medical Wellness PLLC
NPI 1669114047 · Pain Medicine Physician · Miller Place, NY
Provider details
- NPI number
- 1669114047
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ronit Adler, Owner(516) 382-4039
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
275 Route 25a Ste 32
Miller Place, NY 11764-2427
Phone: (631) 500-5433
Approximate (ZIP-level) locationGet directions
Mailing address
275 Route 25a Ste 32
Miller Place, NY 11764-2427
Registry dates
- Enumerated
- 2022-04-07
- Last updated
- 2022-12-08
- Certified
- 2022-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.