| Wellness Acute Care NP PC | |
|
5615 7th Ave Fl 2 Brooklyn NY 11220-3509 | |
| (718) 205-2186 | |
| Not Available |
| Full Name | Wellness Acute Care NP PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5615 7th Ave Fl 2, Brooklyn, New York |
| Authorized Official Name and Position | Guolian Li Li (OWNER) |
| Authorized Official Contact | 4348067015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Acute Care NP PC 5615 7th Ave Fl 2 Brooklyn NY 11220-3509 Ph: (718) 205-2186 | Wellness Acute Care NP PC 5615 7th Ave Fl 2 Brooklyn NY 11220-3509 Ph: (718) 205-2186 |
| NPI Number | 1073198461 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 03/17/2021 |
| Certification Date | 03/17/2021 |
| Medicare PECOS PAC ID | 2567870272 |
|---|---|
| Medicare Enrollment ID | O20210419001671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073198461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| Provider Name | Guolian Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962965251 PECOS PAC ID: 3476961186 Enrollment ID: I20210419002058 |
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