Provider Demographics
NPI:1326809880
Name:NEW FREEDOM WELLNESS INC.
Entity Type:Organization
Organization Name:NEW FREEDOM WELLNESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:J
Authorized Official - Last Name:CILIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LAC
Authorized Official - Phone:516-474-9585
Mailing Address - Street 1:400 NOKOMIS RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHOLD
Mailing Address - State:NY
Mailing Address - Zip Code:11971-4845
Mailing Address - Country:US
Mailing Address - Phone:516-474-9585
Mailing Address - Fax:516-826-1461
Practice Address - Street 1:400 NOKOMIS RD
Practice Address - Street 2:
Practice Address - City:SOUTHOLD
Practice Address - State:NY
Practice Address - Zip Code:11971-4845
Practice Address - Country:US
Practice Address - Phone:516-474-9585
Practice Address - Fax:516-826-1461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty