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Organization
STRONG CHILDREN WELLNESS MEDICAL GROUP, PLLC
Active
Organization
STRONG CHILDREN WELLNESS MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZETTE N BROWN MD (CHIEF OPERATING OFFICER)
(919) 491-3448
Entity
Organization
Contact information
Practice address
16318 JAMAICA AVE STE 2, JAMAICA, NY 11432-4901
(718) 450-9242
Mailing address
420 WOLF HILL RD, DIX HILLS, NY 11746-5742
(919) 491-3448
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03524361
—
NY
05
—
03652733
—
NY
Enumeration date
08/16/2019
Last updated
07/30/2024
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