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Organization
WELLCARE MEDICAL OF NEW YORK PLLC
Active
Organization
WELLCARE MEDICAL OF NEW YORK PLLC
Active
Other names
Medical Pureness
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN SHAPIRO MD (OWNER)
(516) 680-3900
Entity
Organization
Contact information
Practice address
87 S OCEAN AVE, PATCHOGUE, NY 11772-3702
(631) 506-8907
(631) 506-8909
Mailing address
1300 UNION TPKE STE 206, NEW HYDE PARK, NY 11040-1759
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
12/08/2022
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