# WELLNESS MEDICAL NYC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649111220
- **Authorized official:** BARUCH KIM DO (PRESIDENT)
- **Authorized official phone:** (917) 362-3687

## Contact information

- **Practice address:** 39 W 14TH ST STE 205C, NEW YORK, NY 10011-7406
- **Practice address phone:** (917) 362-3687
- **Mailing address:** 39 W 14TH ST STE 205C, NEW YORK, NY 10011-7406
- **Mailing address phone:** (917) 362-3687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2026
- **Last updated:** 04/06/2026
