Organization
ADVANCE MEDICAL & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA WHYTE (BUSINESS ADMINISTRATOR)
(929) 990-3961
Entity
Organization
Contact information
Practice address
730 RIVERSIDE DR, APT. 4E, NEW YORK, NY 10031-2441
(917) 580-1875
Mailing address
730 RIVERSIDE DR, APT. 4E, NEW YORK, NY 10031-2441
(917) 580-1875
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7110511
NY
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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