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Organization
WELLNESS OSTEOPATHIC FAMILY MEDICINE
Active
Organization
WELLNESS OSTEOPATHIC FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISHEVA RUBINOVA DO (OWNER)
(347) 338-0503
Entity
Organization
Contact information
Practice address
6271 WOODHAVEN BLVD, REGO PARK, NY 11374-2896
(347) 338-0503
(718) 957-4668
Mailing address
6271 WOODHAVEN BLVD, REGO PARK, NY 11374-2896
(347) 338-0503
(718) 957-4668
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
289369
LICENSE
NY
Enumeration date
07/24/2024
Last updated
08/07/2025
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