# WYCKOFF DOCTORS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WYCKOFF MEDICAL ASSOCIATES, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811347404
- **Legal business name:** WYCKOFF MEDICAL ASSOCIATES, PC
- **Authorized official:** FRANK VUTRANO (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (718) 963-6702

## Contact information

- **Practice address:** 1419 MYRTLE AVENUE, WYCKOFF DOCTORS, BROOKLYN, NY 11237-4512
- **Practice address phone:** (718) 783-0934
- **Mailing address:** 374 STOCKHOLM STREET, WYCKOFF DOCTORS, BROOKLYN, NY 11237-4006
- **Mailing address phone:** (718) 963-7676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2016
- **Last updated:** 06/15/2016