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Organization
WELLSPRING HEALTH LLC
Active
Organization
WELLSPRING HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY VARGHESE MD (MD)
(718) 902-3440
Entity
Organization
Contact information
Practice address
16836 JAMAICA AVE, JAMAICA, NY 11432-5216
(929) 277-1838
(855) 492-1615
Mailing address
7441 260TH ST APT 2, GLEN OAKS, NY 11004-1124
(718) 902-3440
(855) 492-1615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03426840
—
NY
Enumeration date
03/18/2021
Last updated
10/19/2021
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