| NPI | 1174236566 |
|---|---|
| Doing Business As | UNIVERSAL MEDICAL AND WELLNESS CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | MARINA FAY Provider 718-968-5637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2022-12-30 |