Organization
GARDEN OF WELLNESS LIFE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS MARTHA GELB MD (PRESIDENT)
(347) 561-3120
Entity
Organization
Contact information
Practice address
8027 135 STREET, QUEENS, NY 11435
(347) 561-3120
(347) 561-3142
Mailing address
8027 135 STREET, QUEENS, NY 11435
(347) 561-3120
(347) 561-3142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
202216-1
NY
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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