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Wellround Provider Group, P.A.

Psychiatry & Neurology, Psychiatry in New York, NY. Organization (NPI-2).

NPI number1194351965
StatusActive
Last updated in NPPESMar 12, 2020

Details

NPI
1194351965
Entity type
Organization (NPI-2)
Legal business name
Wellround Provider Group, P.A.
Organization subpart
No
Enumeration date
Mar 12, 2020
Certification date
Mar 12, 2020
Last updated
Mar 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, Psychiatry––Yes
363LP0808X Nurse Practitioner, Psych/Mental Health––
1041C0700X Social Worker, Clinical––

Practice location

401 Park Ave S Fl 9
New York, NY 10016-8808

Phone 347-709-4170

Mailing address

401 Park Ave S Fl 9
New York, NY 10016-8808

Authorized official

Kristel Carrington
Medical Director
3477094170

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