Healthcare Provider Details

I. General information

NPI: 1568778249
Provider Name (Legal Business Name): GETWELL MEDICAL P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2010
Last Update Date: 08/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17227 HIGHLAND AVE SUIT 1 A & B
JAMAICA NY
11432-2800
US

IV. Provider business mailing address

17227 HIGHLAND AVE SUIT 1 A & B
JAMAICA NY
11432-2800
US

V. Phone/Fax

Practice location:
  • Phone: 718-558-9070
  • Fax: 718-558-9878
Mailing address:
  • Phone: 718-558-9070
  • Fax: 718-558-9878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number188326
License Number StateNY

VIII. Authorized Official

Name: THANGAM ARUMUGAM
Title or Position: MEDICAL DIRECTOR
Credential: M.D
Phone: 718-558-9070