Organization
WW MEDICAL WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE WERTHEIM MD (OWNER)
(516) 659-1716
Entity
Organization
Contact information
Practice address
1105 DEER PARK AVE, NORTH BABYLON, NY 11703-3107
(631) 506-8907
(631) 506-8909
Mailing address
118 GLEN COVE RD, ROSLYN HEIGHTS, NY 11577-1718
(631) 506-8907
(631) 506-8909
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
12/08/2022
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