Organization
WYCKOFF OPHTHALMOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN BOARDMAN (PROP)
(201) 445-4808
Entity
Organization
Contact information
Practice address
350 FRANKLIN AVE, WYCKOFF, NJ 07481-1909
(201) 891-7216
Mailing address
350 FRANKLIN AVE, WYCKOFF, NJ 07481-1909
(201) 891-7216
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
31TD00220800
NY
Other
Enumeration date
03/12/2008
Last updated
02/11/2013
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