Wagner B Mello, | |
30 E. 49th St Penthouse, New York, NY 10016-1201 | |
(631) 404-7073 | |
Not Available |
Full Name | Wagner B Mello |
---|---|
Gender | Male |
Speciality | Acupuncturist |
Location | 30 E. 49th St Penthouse, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659810190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | 005922 (New York) | Primary |
363L00000X | Nurse Practitioner | F310958-01 (New York) | Secondary |
Provider Name | Wagner Mello Primary Care Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568171882 PECOS PAC ID: 8820524416 Enrollment ID: O20241205002953 |
Mailing Address | Practice Location Address |
---|---|
Wagner B Mello, 610 W 150th St Apt 4j, New York, NY 10031-2400 Ph: (631) 404-7073 | Wagner B Mello, 30 E. 49th St Penthouse, New York, NY 10016-1201 Ph: (631) 404-7073 |
Dr. Gui T Wang, ACUPUNCTURIST Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 141 E 55th St Apt 7f, New York, NY 10022 Phone: 212-980-2844 | |
Kelley Mondesire', L.AC. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 15 Broad St, Suite 1922, New York, NY 10005 Phone: 917-701-7582 | |
Aaron Jason Teich, L.AC. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 7 W 84th St, Apt. 2, New York, NY 10024 Phone: 917-445-7232 | |
Selina Greene, L.AC. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 5000 Broadway Apt 6a, New York, NY 10034 Phone: 347-678-2293 | |
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Maria Angelica Hurtado, Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 110 William St Fl 19, New York, NY 10038 Phone: 516-986-8085 |