Provider Demographics
NPI:1215827753
Name:YOUR HEALTH IN WELLNESS NP IN FAMILY HEALTH PLLC
Entity type:Organization
Organization Name:YOUR HEALTH IN WELLNESS NP IN FAMILY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZAIRE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:917-271-9278
Mailing Address - Street 1:248 ROUTE 25A STE 3156
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-2954
Mailing Address - Country:US
Mailing Address - Phone:917-271-9278
Mailing Address - Fax:347-679-8171
Practice Address - Street 1:79 ASHFORD ST APT 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-2214
Practice Address - Country:US
Practice Address - Phone:917-271-9278
Practice Address - Fax:347-679-8171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-07
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center