Organization
WYCKOFF PROFESSIONAL MEDICAL SERVICES PC
Active
Organization
WYCKOFF PROFESSIONAL MEDICAL SERVICES PC
Active
Parent organization
WYCKOFF PROFESSIONAL MEDICAL SERVICES PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WYCKOFF PROFESSIONAL MEDICAL SERVICES PC
Authorized official
VALI GACHE (CEO)
(718) 240-1791
Entity
Organization
Contact information
Practice address
1419 MYRTLE AVE, WYCKOFF DOCTORS, BROOKLYN, NY 11237-4512
(718) 783-0934
(718) 857-0162
Mailing address
374 STOCKHOLM STREET, WYCKOFF HEIGHTS MEDICAL CENTER - FACULTY PRACTICE, BROOKLYN, NY 11237
(718) 963-7272
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03722025
—
NY
Enumeration date
12/08/2015
Last updated
12/15/2025
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