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Organization
AVENUE MEDICAL WELLNESS PC
Active
Organization
AVENUE MEDICAL WELLNESS PC
Active
Other names
The Lanby
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE WALLMAN DO (LEAD PHYSICIAN)
(646) 200-5750
Entity
Organization
Contact information
Practice address
535 5TH AVE RM 603, NEW YORK, NY 10017-8009
(646) 200-5750
(833) 322-1167
Mailing address
535 5TH AVE RM 603, NEW YORK, NY 10017-8009
(646) 200-5757
(833) 322-1167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
07/28/2026
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