Organization
WYCKOFF HEIGHTS DENTAL SERVICES, PC
Active
Organization
WYCKOFF HEIGHTS DENTAL SERVICES, PC
Active
Parent organization
WYCKOFF HEIGHTS DENTAL SERVICES, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WYCKOFF HEIGHTS DENTAL SERVICES, PC
Authorized official
FRANK VUTRANO (CHIEF FINANCIAL OFFICER)
(718) 963-6702
Entity
Organization
Contact information
Practice address
WYCKOFF PEDIATRIC CARE CENTER - 1411 MYRTLE AVENUE, WYCKOFF HEIGHTS DENTAL SERVICES, PC, BROOKLYN, NY 11237
(718) 907-4301
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
—
01894164
—
NY
Enumeration date
12/21/2015
Last updated
12/21/2015
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