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Organization
WELLWOOD MEDICAL PC
Active
Organization
WELLWOOD MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH A GRIFFIN (MANAGER)
(718) 471-5554
Entity
Organization
Contact information
Practice address
228 B 20 ST, FAR ROCKAWAY, NY 11691
(718) 471-5554
(718) 471-3940
Mailing address
235 EVERIT AVE, HEWLETT HARBOR, NY 11557
(718) 471-5554
(718) 471-3940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01558832
—
NY
Enumeration date
09/07/2006
Last updated
10/02/2007
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