OrganizationActive
Healthier Life Medicine PLLC
NPI 1831835834 · Public Health & General Preventive Medicine Physician · Centerport, NY
Provider details
- NPI number
- 1831835834
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Andres Jimenez, Owner
Practice location
109 Taft Cres
Centerport, NY 11721-1241
Phone: (855) 916-4684
Fax: (214) 387-1079
Mailing address
109 Taft Cres
Centerport, NY 11721-1241
Registry dates
- Enumerated
- 2022-05-11
- Last updated
- 2022-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.