Healthcare Provider Details

I. General information

NPI: 1609758481
Provider Name (Legal Business Name): DREAM NATION WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 S OAK DR
BRONX NY
10467-6517
US

IV. Provider business mailing address

811 S OAK DR
BRONX NY
10467-6517
US

V. Phone/Fax

Practice location:
  • Phone: 914-357-9715
  • Fax:
Mailing address:
  • Phone: 914-357-9715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANIKA RICHARDS
Title or Position: PHYSICIAN
Credential: D.O. ,P.H,D., M.P.H.
Phone: 914-357-9715