Provider Demographics
NPI:1063381747
Name:HEALTH WELLNESS MEDICAL ASTORIA PLLC
Entity type:Organization
Organization Name:HEALTH WELLNESS MEDICAL ASTORIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUTIMILEHIN
Authorized Official - Middle Name:OLUTOMIWA
Authorized Official - Last Name:OYENIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-344-8963
Mailing Address - Street 1:3274 STEINWAY ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-4006
Mailing Address - Country:US
Mailing Address - Phone:347-355-1328
Mailing Address - Fax:332-296-8382
Practice Address - Street 1:3274 STEINWAY ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-4006
Practice Address - Country:US
Practice Address - Phone:347-355-1328
Practice Address - Fax:332-296-8382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-01
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty