Provider Demographics
NPI:1790058378
Name:METROPOLITAN OPTIMAL WELLNESS MC PC
Entity Type:Organization
Organization Name:METROPOLITAN OPTIMAL WELLNESS MC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:VOLPE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-545-9730
Mailing Address - Street 1:603 W 148TH ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-3134
Mailing Address - Country:US
Mailing Address - Phone:212-545-9730
Mailing Address - Fax:
Practice Address - Street 1:250 W 49TH ST
Practice Address - Street 2:STE 503
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-7400
Practice Address - Country:US
Practice Address - Phone:212-545-9730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service