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Organization
OZONE PARK MEDICAL HEALTH & WELLNESS PC
Active
Organization
OZONE PARK MEDICAL HEALTH & WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARVEY WIEDER MD (PRESIDENT)
(718) 846-6100
Entity
Organization
Contact information
Practice address
10104 103RD ST, OZONE PARK, NY 11416-2629
(718) 846-6100
(718) 849-9825
Mailing address
10104 103RD ST, OZONE PARK, NY 11416-2629
(718) 846-6100
(718) 849-9825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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