BE WELL PRIMARY HEALTH CARE CENTER LLC NPI 1083623409

NPI Information

BE WELL PRIMARY HEALTH CARE CENTER, LLC is a multi-specialty clinic center in Brooklyn, NY. BE WELL PRIMARY HEALTH CARE CENTER, LLC NPI is 1083623409. The provider is registered as an organization entity type.

The provider's business location address is:

3007 FARRAGUT ROAD
BROOKLYN, NY
ZIP 11210-549
Phone: (718) 434-0711
Fax: (718) 434-0712

The provider's authorized official is Yevgeniy Stepankovskiy .
The authorized official title is Chief Executive Officer and has the following contact phone number (718) 434-0711.

The CLIA number assigned to this NPI record is 33D1021605 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 3/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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