Organization
FUNCTIONAL WELLNESS MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMZA JALAL MD (OWNER)
(631) 572-9139
Entity
Organization
Contact information
Practice address
16055 CROSS BAY BLVD, UNIT A, HOWARD BEACH, NY 11414-3450
(718) 210-4738
(888) 498-4123
Mailing address
16055 CROSS BAY BLVD, UNIT A, HOWARD BEACH, NY 11414-3450
(718) 210-4738
(888) 498-4123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
09/25/2024
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