Organization
HEALTH & WELLNESS FAMILY PRACTICE SERVICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONIA EVADNE WALKER-ADAMSON D.O (OWNER/PRESIDENT)
(718) 658-6767
Entity
Organization
Contact information
Practice address
11481 177TH PL, JAMAICA, NY 11434-1405
(718) 658-6767
(718) 206-0861
Mailing address
11481 177TH PL, JAMAICA, NY 11434-1405
(718) 658-6767
(718) 206-0861
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
197679
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01580318
—
NY
Enumeration date
04/08/2008
Last updated
04/27/2017
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