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Organization
GARDEN OF WELLNESS LIFE MEDICAL PC
Active
Organization
GARDEN OF WELLNESS LIFE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS MARTHA GELB MD (PRESIDENT)
(347) 561-3120
Entity
Organization
Contact information
Practice address
8027 135 STREET, QUEENS, NY 11435
(347) 561-3120
(347) 561-3142
Mailing address
8027 135 STREET, QUEENS, NY 11435
(347) 561-3120
(347) 561-3142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
202216-1
NY
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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