AVENUE MEDICAL WELLNESS PC NPI 1033885199

NPI Information

AVENUE MEDICAL WELLNESS PC is a family medicine in New York, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AVENUE MEDICAL WELLNESS PC NPI is 1033885199. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

535 5TH AVE RM 603
NEW YORK, NY
ZIP 10017-009
Phone: (310) 614-3697

The provider's authorized official is Bojana Jankovic Weatherly .
The authorized official title is Owner and has the following contact phone number (310) 614-3697.

The CLIA number assigned to this NPI record is 33D2238554 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2021 and was last updated on 8/19/2021.

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:

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