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Organization
WYCKOFF PROFESSIONAL MEDICAL SERVICES, PC
Active
Organization
WYCKOFF PROFESSIONAL MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALI GACHE (CFO)
(718) 240-1795
Entity
Organization
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-6485
(718) 963-6793
Mailing address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-6485
(718) 963-6793
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03722025
—
NY
Enumeration date
06/21/2013
Last updated
11/29/2025
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