Organization
WELLNESS HOUSECALLS MANAGEMENT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CUMANDA D ANGUSTIA NP (NURSE PRACTITIONER)
(718) 644-6944
Entity
Organization
Contact information
Practice address
385 SENECA AVE, RIDGEWOOD, NY 11385-1340
(718) 821-1222
(718) 418-7490
Mailing address
385 SENECA AVE, RIDGEWOOD, NY 11385-1340
(718) 821-1222
(718) 418-7490
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
337028
NY
Other
Enumeration date
04/29/2014
Last updated
05/03/2014
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