OrganizationActive
11 Medical Drive Wellness PLLC
NPI 1902332588 · Emergency Medical Services (Emergency Medicine) Physician · Port Jefferson Station, NY
Provider details
- NPI number
- 1902332588
- Entity type
- Organization
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Dh Management Group LLC
- Authorized official
- Laura Roy, Practice Manager
Practice location
11 Medical Dr
Suite B
Port Jefferson Station, NY 11776-1589
Phone: (631) 509-6066
Fax: (631) 849-5824
Mailing address
11 Medical Dr
Port Jefferson Station, NY 11776-1589
Registry dates
- Enumerated
- 2017-05-03
- Last updated
- 2017-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.