Organization
WELLNESS PHYSICAL MEDICINE & REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASAN CHUGHTAI DO (MEDICAL DIRECTOR)
(718) 658-5639
Entity
Organization
Contact information
Practice address
18016 WEXFORD TER STE CB, JAMAICA, NY 11432-3004
(718) 658-5639
(718) 657-5607
Mailing address
18016 WEXFORD TER STE CB, JAMAICA, NY 11432-3004
(718) 658-5639
(718) 657-5607
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08230100
—
NY
Enumeration date
03/18/2025
Last updated
03/12/2026
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