Individual
MICHAEL WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, R.T. (R)
Contact information
Practice address
2310 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-2035
(516) 595-0206
Mailing address
823 HELENE ST, WANTAGH, NY 11793-1623
(516) 796-8406
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NY
Other
Enumeration date
01/18/2023
Last updated
01/25/2023
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