| Wellwood Medical Assoc Pc | |
|
910 Route 109 Lindenhurst NY 11757-1158 | |
| (631) 957-5551 | |
| Not Available |
| Full Name | Wellwood Medical Assoc Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 910 Route 109, Lindenhurst, New York |
| Authorized Official Name and Position | Marian Kamath (PRESIDENT) |
| Authorized Official Contact | 6319575551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellwood Medical Assoc Pc 910 Route 109 Lindenhurst NY 11757-1158 Ph: (631) 957-5551 | Wellwood Medical Assoc Pc 910 Route 109 Lindenhurst NY 11757-1158 Ph: (631) 957-5551 |
| NPI Number | 1821224221 |
|---|---|
| Provider Enumeration Date | 06/01/2009 |
| Last Update Date | 06/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821224221 | NPI | - | NPPES |
| 110267437 | Other | NY | 1199 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 2116081 (New York) | Primary |
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