Individual
JOHN WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 667-2300
Mailing address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
100132
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100132
—
NY
Enumeration date
04/02/2007
Last updated
07/08/2007
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