Provider Demographics
NPI:1669125803
Name:THE WELLNESS MEDICINE OF NEW YORK PC
Entity type:Organization
Organization Name:THE WELLNESS MEDICINE OF NEW YORK PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:BECHOY
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELMALAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-291-7270
Mailing Address - Street 1:66 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:HASBROUCK HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07604-1312
Mailing Address - Country:US
Mailing Address - Phone:646-907-9072
Mailing Address - Fax:
Practice Address - Street 1:6903 4TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-1509
Practice Address - Country:US
Practice Address - Phone:646-907-9072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty