AVENUE MEDICAL WELLNESS PC NPI 1871252890

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 1871252890. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

535 5TH AVE RM 603
NEW YORK, NY
ZIP 10017-009
Phone: (646) 200-5750
Fax: (833) 322-1167

The provider's authorized official is Shera Raisen .
The authorized official title is Lead Physician and has the following contact phone number (646) 200-5750.

The enumeration date for this NPI number is 12/17/2021 and was last updated on 12/17/2021.

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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