Provider Demographics
NPI:1184457954
Name:SQUARE HEALTH & WELLNESS CORP
Entity type:Organization
Organization Name:SQUARE HEALTH & WELLNESS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:QUATRO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:516-871-0017
Mailing Address - Street 1:510 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-1147
Mailing Address - Country:US
Mailing Address - Phone:516-505-1550
Mailing Address - Fax:516-505-0522
Practice Address - Street 1:510 HEMPSTEAD TPKE # 103-104
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-1147
Practice Address - Country:US
Practice Address - Phone:585-217-2704
Practice Address - Fax:516-871-0018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy