Provider Demographics
NPI:1790248086
Name:RELIEF WELLNESS CENTER
Entity Type:Organization
Organization Name:RELIEF WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:DUIGNAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:631-786-5429
Mailing Address - Street 1:3 ASH CT
Mailing Address - Street 2:
Mailing Address - City:SELDEN
Mailing Address - State:NY
Mailing Address - Zip Code:11784-3906
Mailing Address - Country:US
Mailing Address - Phone:631-786-5429
Mailing Address - Fax:
Practice Address - Street 1:10 LAWRENCE AVE STE 2
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-3622
Practice Address - Country:US
Practice Address - Phone:631-265-3600
Practice Address - Fax:631-265-3700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-12
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No302R00000XManaged Care OrganizationsHealth Maintenance Organization