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Organization
WYCKOFF FAMILY MEDICAL SERVICES
Active
Organization
WYCKOFF FAMILY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE CAMPBELL (MANAGER)
(718) 963-7272
Entity
Organization
Contact information
Practice address
125 ALEX CIR, STATEN ISLAND, NY 10305-4765
(917) 744-0378
Mailing address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
223830
NY
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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