Healthcare Provider Details

I. General information

NPI: 1982510905
Provider Name (Legal Business Name): WELLNESS MEDICAL CARE SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7009 AUSTIN ST STE 203
FOREST HILLS NY
11375-1012
US

IV. Provider business mailing address

7009 AUSTIN ST STE 203
FOREST HILLS NY
11375-1012
US

V. Phone/Fax

Practice location:
  • Phone: 718-864-4409
  • Fax:
Mailing address:
  • Phone: 718-864-4409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHNNY BABAYEV
Title or Position: OWNER
Credential:
Phone: 718-864-4409