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Organization
WELLCARE PEDIATRICS P.C.
Active
Organization
WELLCARE PEDIATRICS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM CARVAN M.D. (PEDIATRICIAN)
(718) 939-4379
Entity
Organization
Contact information
Practice address
1720 FRANCIS LEWIS BLVD, WHITESTONE, NY 11357-3247
(718) 939-4379
(718) 939-4380
Mailing address
1720 FRANCIS LEWIS BLVD, WHITESTONE, NY 11357-3247
(718) 939-4379
(718) 939-4380
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
236631
NY
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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