Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medical and Wellness Practice PLLC

Organization Orthopaedic Surgery of the Spine Physician · NPI 1104427442

Medical and Wellness Practice PLLC is an Orthopaedic Surgery of the Spine Physician in Staten Island, New York. Works from 3 locations. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

554 Tompkins Ave
Staten Island, NY 10305-1745
Phone: (877) 241-2772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 139 Fulton St Rm 136, New York, NY 10038-2538 — (877) 241-2772
  • 110 Business Park Dr, Utica, NY 13502-6302 — (877) 241-2772

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X

Record details

NPI number1104427442
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Shiau — President · (917) 886-5276
NPI enumeratedNovember 3, 2020
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021
Mailing addressPo Box 103, Hillsdale, NJ 07642-0103

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