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Organization
WELLCOME CARE MEDICAL
Active
Organization
WELLCOME CARE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDI B NELSON MD (CEO/MEDICAL DIRECTOR)
(718) 310-6049
Entity
Organization
Contact information
Practice address
2915 FAR ROCKAWAY BLVD, FAR ROCKAWAY, NY 11691-1941
(718) 310-6049
(718) 310-6070
Mailing address
2915 FAR ROCKAWAY BLVD, FAR ROCKAWAY, NY 11691-1941
(718) 310-6049
(718) 310-6070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07932130
—
NY
Enumeration date
03/26/2024
Last updated
05/22/2026
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