Organization
WELLLIFE NETWORK INC
Active
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
40 ELMONT ROAD, ELMONT, NY 11003-1603
(347) 542-5667
(347) 542-5840
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
251B00000X
Case Management Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01304109
—
NY
Enumeration date
08/18/2008
Last updated
08/16/2024
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