Organization
WELLNY MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL K ROSEN MD (OWNER)
(877) 331-5004
Entity
Organization
Contact information
Practice address
7 W 45TH ST FL 9, NEW YORK, NY 10036-4905
(877) 331-5043
(914) 303-5004
Mailing address
7 W 45TH ST FL 9, NEW YORK, NY 10036-4905
(877) 331-5043
(914) 303-5004
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174280
1199
NY
Enumeration date
05/24/2019
Last updated
05/24/2019
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