Provider Demographics
NPI:1336799295
Name:WELLNESS MEDICAL SERVICES OF MANHATTAN PC
Entity Type:Organization
Organization Name:WELLNESS MEDICAL SERVICES OF MANHATTAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GHALCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-686-0066
Mailing Address - Street 1:149 E 23RD ST # 1575
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-3765
Mailing Address - Country:US
Mailing Address - Phone:212-686-0066
Mailing Address - Fax:
Practice Address - Street 1:15 E 18TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-1903
Practice Address - Country:US
Practice Address - Phone:212-686-0066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-12
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPainGroup - Multi-Specialty