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Organization
WELLCARE OF BX MEDICAL PC
Active
Organization
WELLCARE OF BX MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SVETLANA KHANDROS D.O (OWNER)
(718) 220-0439
Entity
Organization
Contact information
Practice address
2336 GRAND CONCOURSE, BRONX, NY 10458-6903
(718) 220-0439
(718) 933-2914
Mailing address
2336 GRAND CONCOURSE, BRONX, NY 10458-6903
(718) 220-0439
(718) 933-2914
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
228243
NY
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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