| Wellwood Medical Pc | |
|
228 B 20 St Far Rockaway NY 11691 | |
| (718) 471-5554 | |
| (718) 471-3940 |
| Full Name | Wellwood Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 228 B 20 St, Far Rockaway, New York |
| Authorized Official Name and Position | Deborah A Griffin (MANAGER) |
| Authorized Official Contact | 7184715554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellwood Medical Pc 235 Everit Ave Hewlett Harbor NY 11557 Ph: (718) 471-5554 | Wellwood Medical Pc 228 B 20 St Far Rockaway NY 11691 Ph: (718) 471-5554 |
| NPI Number | 1457454902 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 10/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457454902 | NPI | - | NPPES |
| 01558832 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New York) | Primary |
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