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General NPI Number Information
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NPI Number | 1922953884
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Entity Type | Organization
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Legal Business Name | WELLNESS MEDICAL SERVICES OF BROOKLYN PC
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 242 E 72ND ST # 1W
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City | NEW YORK
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State | NY
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Zip | 10021-4574
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Country | US
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Telephone | 213-827-3038
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Fax |
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Provider Business Mailing Address
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Address Line | 6300 WILSHIRE BLVD STE 980
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City | LOS ANGELES
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State | CA
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Zip | 90048-5202
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JONATHAN SNIPES
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Credential | MD
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Telephone | 213-827-3038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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