Evergreen Wellness Health Llc | |
220 5th Avenue 11th Floor, Office #23 New York NY 10001 | |
(914) 266-0524 | |
(757) 432-3277 |
Full Name | Evergreen Wellness Health Llc |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 220 5th Avenue, New York, New York |
Authorized Official Name and Position | Chang Wang (OWNER) |
Authorized Official Contact | 9142660524 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Evergreen Wellness Health Llc 1 Northside Piers Apt 14e Brooklyn NY 11249 Ph: () - | Evergreen Wellness Health Llc 220 5th Avenue 11th Floor, Office #23 New York NY 10001 Ph: (914) 266-0524 |
NPI Number | 1861171696 |
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Provider Enumeration Date | 07/18/2023 |
Last Update Date | 07/18/2023 |
Certification Date | 07/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861171696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
Bimc Fpp Dept Of Psych Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Nathan D. Perlman Place, 16th Street At 1st Avenue, New York, NY 10003 Phone: 212-420-4714 | |
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