| NPI | 1649002858 |
|---|---|
| Former Legal Business Name | MY WELLNESS MEDICAL PLLC |
| Entity Type | Organization |
| Authorized Contact | MANISH CHADHA Owner 631-335-3403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2025-01-09 |