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WELLNESS MEDICAL OF CORONA PC

Debarred entity

WELLNESS MEDICAL OF CORONA PC is an entity of interest. It has not been found on international sanctions lists.

Type	Legal entity				[sources]
Name	WELLNESS MEDICAL OF CORONA PC				[sources]
Legal form	not available				[sources]
Country	United States				[sources]
ID Number	`00109193`				[sources]
NPI	`1336516210`				[sources]
Sector	Physician Practice				[sources]
Status	not available				[sources]
Last change	2025-03-06	Last processed	2026-02-01	First seen	2024-09-02

Sanctions
Country	Authority	Program	Start date	End date
United States	New York State Office of the Medicaid Inspector General		2021-09-13	-

Medical providers deemed ineligible to participate in New York State's Medicaid program.

United States · OMIG

Source data IDs: us-medny-f6077f1dcccb69c206f00b61cfe62a6ba41fcb3e · us-npi-1336516210

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