Organization
BE WELL PRIMARY HEALTH CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YEVGENIY STEPANKOVSKIY (CEO)
(718) 253-1582
Entity
Organization
Contact information
Practice address
3007 FARRAGUT ROAD, BROOKLYN, NY 11210-2549
(718) 434-0711
(718) 434-0712
Mailing address
3007 FARRAGUT RD, BROOKLYN, NY 11210-1537
(718) 434-0711
(718) 434-0712
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
7001111R
NY
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02528912
—
NY
Enumeration date
08/05/2006
Last updated
05/05/2026
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