Welllife Network INC.
Clinic/Center in Great Neck, NY. Organization (NPI-2).
NPI number1477864866
StatusActive
Last updated in NPPESAug 16, 2024
Details
- NPI
- 1477864866
- Entity type
- Organization (NPI-2)
- Legal business name
- Welllife Network INC.
- Organization subpart
- No
- Enumeration date
- Jun 30, 2010
- Certification date
- Aug 16, 2024
- Last updated
- Aug 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | NY | Yes |
Other names
- Psch INC. (Former Legal Business Name)
Practice location
800 Northern BlvdGreat Neck, NY 11021-5314
Phone 516-829-9666 · Fax 516-482-0692
Mailing address
1985 Marcus Ave Ste 100New Hyde Park, NY 11042-2025
Phone 718-559-0516 · Fax 718-762-6140
Authorized official
Sherry Tucker
Ceo
7185590534
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