Provider Demographics
NPI:1740054113
Name:WELLNESS IN INWOOD LLC
Entity type:Organization
Organization Name:WELLNESS IN INWOOD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:URENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-267-1400
Mailing Address - Street 1:148 POST AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-2667
Mailing Address - Country:US
Mailing Address - Phone:845-267-1400
Mailing Address - Fax:646-370-5420
Practice Address - Street 1:148 POST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-2667
Practice Address - Country:US
Practice Address - Phone:845-267-1400
Practice Address - Fax:646-370-5420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder