# ML WELLNESS MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275246738
- **Authorized official:** DR. LESLIE RAMSAMMY MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (516) 474-5356

## Contact information

- **Practice address:** 277 INDIAN HEAD RD, KINGS PARK, NY 11754-4810
- **Practice address phone:** (516) 474-5356
- **Mailing address:** 8 JAREDS PATH, BROOKHAVEN, NY 11719-9437
- **Mailing address phone:** (516) 474-5356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2022
- **Last updated:** 01/05/2023