OrganizationActive
Advance Medical & Wellness
NPI 1194250456 · Adult Health Nurse Practitioner · New York, NY
Provider details
- NPI number
- 1194250456
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Gina Whyte, Business Administrator(929) 990-3961
- License
- 7110511 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
730 Riverside Dr
Apt. 4e
New York, NY 10031-2441
Phone: (917) 580-1875
Approximate (ZIP-level) locationGet directions
Mailing address
730 Riverside Dr
New York, NY 10031-2441
Registry dates
- Enumerated
- 2017-04-25
- Last updated
- 2017-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.