WYCKOFF DOCTORS NPI 1811347404

NPI Information

NPI: 1811347404
Provider Name: WYCKOFF DOCTORS
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 33D2108443

Address:
1419 MYRTLE AVENUE
WYCKOFF DOCTORS
BROOKLYN, NY
ZIP 11237
Phone: (718) 783-0934
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WYCKOFF DOCTORS is a multi-specialty clinic center in Brooklyn, NY. WYCKOFF DOCTORS NPI is 1811347404. The provider is registered as an organization entity type.

The provider's business location address is:

1419 MYRTLE AVENUE
WYCKOFF DOCTORS
BROOKLYN, NY
ZIP 11237-512
Phone: (718) 783-0934

The provider's authorized official is Frank Vutrano .
The authorized official title is Chief Financial Officer and has the following contact phone number (718) 963-6702.

The CLIA number assigned to this NPI record is 33D2108443 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2016 and was last updated on 6/15/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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: 5/5/2024

NPI Synchronization or Removal

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