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Organization
WYCKOFF EMERGENCY MEDICINE SERVICES, P.C.
Active
Organization
WYCKOFF EMERGENCY MEDICINE SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISANDRO IRIZARRY M.D. (PRESIDENT)
(718) 963-6551
Entity
Organization
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-6551
Mailing address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-6551
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03307811
—
NY
Enumeration date
06/04/2006
Last updated
04/03/2019
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