Organization
WELLNESS MEDICAL ASSOC., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET COSTIGAN R.N. (PRACTICE COORDINATOR)
(718) 863-8926
Entity
Organization
Contact information
Practice address
1180 MORRIS PARK AVE, BRONX, NY 10461-1925
(718) 863-8465
(718) 863-7191
Mailing address
1180 MORRIS PARK AVE, BRONX, NY 10461-1925
(718) 863-8465
(718) 863-7191
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RN0300X
Nephrology Physician
—
—
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
09/11/2025
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