Healthcare Provider Details

I. General information

NPI: 1780528448
Provider Name (Legal Business Name): UNITED WELLNESS SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3220 AVENUE H APT 1H
BROOKLYN NY
11210-3236
US

IV. Provider business mailing address

3220 AVENUE H APT 1H
BROOKLYN NY
11210-3236
US

V. Phone/Fax

Practice location:
  • Phone: 347-620-3339
  • Fax: 347-548-9953
Mailing address:
  • Phone: 347-620-3339
  • Fax: 347-548-9953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JASON DUCOS
Title or Position: FOUNDER, PRESIDENT
Credential: LCSW-R, CASAC-M
Phone: 347-620-3339