Organization
CAREWELL INC
Active
Other names
Elite & Surgical Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ILYA ILYAYEV (MANAGER)
(718) 880-1940
Entity
Organization
Contact information
Practice address
11114 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1812
(718) 880-1940
(718) 880-1939
Mailing address
11114 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1812
(718) 880-1940
(718) 880-1939
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
032781
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04833405
—
NY
Enumeration date
03/22/2017
Last updated
05/21/2025
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