| Urban Wellness Physicians, Pllc | |
|
1349 Broadway Brooklyn NY 11221-6162 | |
| (516) 353-8496 | |
| Not Available |
| Full Name | Urban Wellness Physicians, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1349 Broadway, Brooklyn, New York |
| Authorized Official Name and Position | Rehan Shah (OWNER) |
| Authorized Official Contact | 5163538496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Wellness Physicians, Pllc 1349 Broadway Brooklyn NY 11221-6162 Ph: () - | Urban Wellness Physicians, Pllc 1349 Broadway Brooklyn NY 11221-6162 Ph: (516) 353-8496 |
| NPI Number | 1669111035 |
|---|---|
| Provider Enumeration Date | 06/02/2022 |
| Last Update Date | 08/06/2024 |
| Medicare PECOS PAC ID | 0941681092 |
|---|---|
| Medicare Enrollment ID | O20220720002035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669111035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Zeeshan Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144668864 PECOS PAC ID: 2769778299 Enrollment ID: I20160909001795 |
| Provider Name | Bianca Pierre Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750936795 PECOS PAC ID: 0143653170 Enrollment ID: I20191205002173 |
| Provider Name | Melissa Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437818630 PECOS PAC ID: 6608261391 Enrollment ID: I20220316000321 |
| Provider Name | Rehan Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255521332 PECOS PAC ID: 6305018870 Enrollment ID: I20220720002201 |
| Provider Name | Tatiana Vanessa Duplessis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962082131 PECOS PAC ID: 3274994314 Enrollment ID: I20230804001993 |
| Provider Name | Princess Vilbrun Gervais-labady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164285938 PECOS PAC ID: 4183064405 Enrollment ID: I20240502002952 |
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