Organization
WELLNESS ADULT HEALTH NP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASODA DHUPAN NURSE PRACTITIONER (OFFICER- OWNER)
(347) 465-3919
Entity
Organization
Contact information
Practice address
9 IVANHOE PL, VALLEY STREAM, NY 11580-2901
(347) 465-3919
Mailing address
9 IVANHOE PL, VALLEY STREAM, NY 11580-2901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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