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WYCKOFF HEIGHTS MEDICAL SERVICES PC NPI 1700824372


NPI Information

NPI: 1700824372
Provider Name: WYCKOFF HEIGHTS MEDICAL SERVICES PC

Former Legal Business Name: WYCKOFF ANESTHESIA MEDICAL SERVICES PC

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
374 STOCKHOLM ST
BROOKLYN, NY
ZIP 11237
Phone: (718) 963-6485
Get Directions

WYCKOFF HEIGHTS MEDICAL SERVICES PC is a surgery in Brooklyn, NY. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. WYCKOFF HEIGHTS MEDICAL SERVICES PC NPI is 1700824372. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Wyckoff Anesthesia Medical Services Pc.

The provider's business location address is:

374 STOCKHOLM ST
BROOKLYN, NY
ZIP 11237
Phone: (718) 963-6485
Fax: (718) 963-6793

The provider's authorized official is Vali Gache .
The authorized official title is Cfo and has the following contact phone number (718) 240-1795.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 4/3/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2207LP2900XAnesthesiologyPain MedicineNo
3207T00000XNeurological SurgeryNo
4207X00000XOrthopaedic SurgeryNo
5207Y00000XOtolaryngologyNo
6208200000XPlastic SurgeryNo
72082S0105XPlastic SurgerySurgery of the HandNo
8208600000XSurgeryYes
92086S0120XSurgeryPediatric SurgeryNo
102086S0129XSurgeryVascular SurgeryNo
11208800000XUrologyNo
12208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
13213E00000XPodiatristNo
14363A00000XPhysician AssistantNo
15363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103299167MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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