Wellcare Medical of Long Island Pllc

NPI #1114508587 in Patchogue, New York

Provider Information

NPI Number
1114508587
Entity Type
Organization
Organization Name
Wellcare Medical of Long Island Pllc
Primary Specialty
Pain Medicine - Pain Medicine
Enumeration Date
Apr 17, 2021
Last Updated
Dec 9, 2022

Practice Location

Address
85 S OCEAN AVE
ZIP Code
11772-3702
Phone
(516) 412-7873

Authorized Official

Name
EVAN B. SHAPIRO, MD
Title
OWNER
Phone
(516) 680-3900

Specialties & Taxonomy Codes

Specialty
Pain Medicine - Pain MedicinePain Medicine

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