MGF Wellness Visits LLC

Organization Active NPI Adult Health Nurse Practitioner · Atlantic Beach, NY

NPI 1720453046 · NPPES record last updated Dec 11, 2015

Key facts

NPI
1720453046
Entity type
Organization (NPI type 2)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
Legal business name
MGF WELLNESS VISITS LLC
Practice address
1618 Park St
Atlantic Beach, NY 11509-1520
Phone
(516) 451-9355
NPI assigned
Dec 11, 2015
Organization subpart
No

Authorized official

Name
Melanie Gay Forman, NP NPI 1578815015
Title
Adult Nurse Practitioner
Phone
(516) 451-9355

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LA2200X Yes

Addresses

Primary practice location

1618 Park St
Atlantic Beach, NY 11509-1520

Mailing address

1618 Park St
Atlantic Beach, NY 11509-1520
Phone (516) 451-9355

Other providers in Atlantic Beach, NY

All providers in Atlantic Beach, NY · Adult Health Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.