Functional Wellness Medical Care Pllc
NPI #1164149001 in Howard Beach, New York
Provider Information
- NPI Number
- 1164149001
- Entity Type
- Organization
- Organization Name
- Functional Wellness Medical Care Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 21, 2022
- Last Updated
- Sep 25, 2024
Practice Location
- Address
- 16055 CROSS BAY BLVD
- Address 2
- UNIT A
- City
- Howard Beach
- State
- New York
- ZIP Code
- 11414-3450
- Phone
- (718) 210-4738
Authorized Official
- Name
- HAMZA JALAL, MD
- Title
- OWNER
- Phone
- (631) 572-9139
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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