OrganizationActive
Alternative Aging & Medispa
NPI 1700471158 · Family Medicine Physician · Watertown, NY
Provider details
- NPI number
- 1700471158
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Phyl Mckinney, Owner/Member(315) 777-2749
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1388 Cosgrove St
Watertown, NY 13601-4544
Phone: (315) 777-2749
Street-level locationGet directions
Mailing address
1388 Cosgrove St
Watertown, NY 13601-4544
Other names (DBA / former)
- Doing business as
- Telefixnp
Registry dates
- Enumerated
- 2021-03-08
- Last updated
- 2021-03-08
- Certified
- 2021-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.