Healthcare Provider Details

I. General information

NPI: 1770001240
Provider Name (Legal Business Name): MANHATTAN MEDICAL WELLNESS SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2017
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 E 25TH ST FL 4
NEW YORK NY
10010-8210
US

IV. Provider business mailing address

51 E 25TH ST FL 4
NEW YORK NY
10010-8210
US

V. Phone/Fax

Practice location:
  • Phone: 212-686-0066
  • Fax:
Mailing address:
  • Phone:
  • 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: MICHAEL GHALCHI
Title or Position: PHYSICIAN
Credential: MD
Phone: 212-686-0066