| Garden Of Wellness Life Medical Pc | |
|
8027 135 Street Queens NY 11435 | |
| (347) 561-3120 | |
| (347) 561-3142 |
| Full Name | Garden Of Wellness Life Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 8027 135 Street, Queens, New York |
| Authorized Official Name and Position | Phyllis Martha Gelb (PRESIDENT) |
| Authorized Official Contact | 3475613120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden Of Wellness Life Medical Pc 8027 135 Street Queens NY 11435 Ph: (347) 561-3120 | Garden Of Wellness Life Medical Pc 8027 135 Street Queens NY 11435 Ph: (347) 561-3120 |
| NPI Number | 1861983363 |
|---|---|
| Provider Enumeration Date | 05/21/2018 |
| Last Update Date | 05/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861983363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 202216-1 (New York) | Primary |
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