Provider Demographics
NPI:1114254703
Name:WELLCHECK LLC
Entity Type:Organization
Organization Name:WELLCHECK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:TAWIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-730-1150
Mailing Address - Street 1:1120 AVENUE OF THE AMERICAS
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-6700
Mailing Address - Country:US
Mailing Address - Phone:888-823-6322
Mailing Address - Fax:646-349-1828
Practice Address - Street 1:1120 AVENUE OF THE AMERICAS
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-6700
Practice Address - Country:US
Practice Address - Phone:888-823-6322
Practice Address - Fax:646-349-1828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-03
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service