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WOUND CARE SPECIALISTS OF NY LLC NPI 1922757178


NPI Information

NPI: 1922757178
Provider Name: WOUND CARE SPECIALISTS OF NY, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
100 PARK AVE RM 1600
NEW YORK, NY
ZIP 10017
Phone: (203) 598-6046
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WOUND CARE SPECIALISTS OF NY, LLC is a general practice in New York, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WOUND CARE SPECIALISTS OF NY, LLC NPI is 1922757178. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 PARK AVE RM 1600
NEW YORK, NY
ZIP 10017-538
Phone: (203) 598-6046

The provider's authorized official is Jonathan Brenes .
The authorized official title is Member and has the following contact phone number (203) 598-6045.

The enumeration date for this NPI number is 3/23/2022 and was last updated on 3/23/2022.


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
1207Q00000XFamily MedicineNo
2208600000XSurgeryNo
3363L00000XNurse PractitionerNo
4363LA2200XNurse PractitionerAdult HealthNo
5363LF0000XNurse PractitionerFamilyNo
6208D00000XGeneral PracticeYes

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
1PENDINGMEDICAIDNEW YORK
2PENDINGOTHERNEW YORKCMS

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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