| Well Care Neurology Pllc | |
|
1665 Grand Concourse Suite A Bronx NY 10452-5815 | |
| (917) 386-8964 | |
| Not Available |
| Full Name | Well Care Neurology Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1665 Grand Concourse, Bronx, New York |
| Authorized Official Name and Position | Vikas Agrawal (PRESIDENT) |
| Authorized Official Contact | 9173868964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Well Care Neurology Pllc 18 Sylvia Ave Ardsley NY 10502-1109 Ph: (917) 386-8964 | Well Care Neurology Pllc 1665 Grand Concourse Suite A Bronx NY 10452-5815 Ph: (917) 386-8964 |
| NPI Number | 1285084251 |
|---|---|
| Provider Enumeration Date | 06/20/2016 |
| Last Update Date | 08/02/2016 |
| Medicare PECOS PAC ID | 7113215443 |
|---|---|
| Medicare Enrollment ID | O20161019001290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285084251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 273140 (New York) | Primary |
| Provider Name | Vikas K Agrawal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568523496 PECOS PAC ID: 3476657917 Enrollment ID: I20070322000483 |
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