Organization
WELLLIFE NETWORK INC.
Active
Other names
PSCH INC.
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY TUCKER (CEO)
(718) 559-0534
Entity
Organization
Contact information
Practice address
800 NORTHERN BLVD, GREAT NECK, NY 11021-5314
(516) 829-9666
(516) 482-0692
Mailing address
1985 MARCUS AVE STE 100, NEW HYDE PARK, NY 11042-2025
(718) 559-0516
(718) 762-6140
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NY
Other
Enumeration date
06/30/2010
Last updated
08/16/2024
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