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NPI Code Detail

MEDICARE: WELLNESS INSTITUTE, INC.

MEDICARE: WELLNESS INSTITUTE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207KI0005XClinical & Laboratory Immunology (Allergy & Immunology) Physician093635NY
2213E00000XPodiatristN002983NY
3363LF0000XFamily Nurse Practitioner334278NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11104833078OTHERNYNPI
21538227699OTHERNYNPI
31447315890OTHERNYNPI
41982785358OTHERNYNPI

General Provider Information

NPI Number : 1851591994
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLNESS INSTITUTE, INC.
Provider Business Mailing Address
First Line : 337 N MAIN ST
Second Line : SUITE 6A
City : NEW CITY
State : NY
Zip : 10956-4310
Country : US
Telephone Number : 845-638-4574
Fax Number : 845-638-9436
Provider Business Practice Location Address
First Line : 337 N MAIN ST
Second Line : SUITE 6A
City : NEW CITY
State : NY
Zip : 10956-4310
Country : US
Telephone Number : 845-638-4574
Fax Number : 845-638-9436
Authorized Official
Title or Position : PRESIDENT
Name : MS. PATRICIA HALO
Credential : FNP
Telephone Number : 845-638-4574
Provider Enumeration Date : 07/18/2007
Last Update Date : 07/18/2007

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Directions to “WELLNESS INSTITUTE, INC. ” Practice Location

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