Provider Demographics
NPI:1609758481
Name:DREAM NATION WELLNESS
Entity type:Organization
Organization Name:DREAM NATION WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:DO ,PH,D, MPH
Authorized Official - Phone:914-357-9715
Mailing Address - Street 1:811 S OAK DR
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-6517
Mailing Address - Country:US
Mailing Address - Phone:914-357-9715
Mailing Address - Fax:
Practice Address - Street 1:811 S OAK DR
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-6517
Practice Address - Country:US
Practice Address - Phone:914-357-9715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center