| Ozone Park Medical Health & Wellness Pc | |
|
10104 103rd St Ozone Park NY 11416-2629 | |
| (718) 846-6100 | |
| (718) 849-9825 |
| Full Name | Ozone Park Medical Health & Wellness Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 10104 103rd St, Ozone Park, New York |
| Authorized Official Name and Position | Harvey Wieder (PRESIDENT) |
| Authorized Official Contact | 7188466100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozone Park Medical Health & Wellness Pc 10104 103rd St Ozone Park NY 11416-2629 Ph: (718) 846-6100 | Ozone Park Medical Health & Wellness Pc 10104 103rd St Ozone Park NY 11416-2629 Ph: (718) 846-6100 |
| NPI Number | 1619120185 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619120185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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