# WELLBEING CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellbeing Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528885613
- **Authorized official:** MIOK IM APRN, FNP-C, PMHNP-B (CHIEF COUNCILLOR)
- **Authorized official phone:** (551) 395-7952

## Contact information

- **Practice address:** 4332 22ND ST STE 203, LONG ISLAND CITY, NY 11101-5077
- **Practice address phone:** (551) 395-7952
- **Practice address fax:** (620) 877-9147
- **Mailing address:** 466 HACKENSACK AVE \# 1043, HACKENSACK, NJ 07601-6305
- **Mailing address phone:** (551) 395-7952
- **Mailing address fax:** (620) 877-9147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2024
- **Last updated:** 01/21/2026