Provider Demographics
NPI:1982011342
Name:ASSOCIATES IN HEALTH & WELLNESS CORP.
Entity Type:Organization
Organization Name:ASSOCIATES IN HEALTH & WELLNESS CORP.
Other - Org Name:JENNY DELALEU NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Other - Org Type:Other Name
Authorized Official - Title/Position:NURSE PRACTITIONER, OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:DELALEU
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:516-279-5484
Mailing Address - Street 1:53 E MERRICK RD # 134
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-4056
Mailing Address - Country:US
Mailing Address - Phone:516-279-5484
Mailing Address - Fax:
Practice Address - Street 1:294 W MERRICK RD
Practice Address - Street 2:STE. #6
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-3374
Practice Address - Country:US
Practice Address - Phone:516-279-5484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF33-4623261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care