Organization
FWC MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WHITE (MANAGER)
(516) 586-6063
Entity
Organization
Contact information
Practice address
99 FULTON STREET, FARMINGDALE, NY 11735-2518
(516) 799-5407
Mailing address
99 FULTON STREET, FARMINGDALE, NY 11735-2518
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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