Organization
ADVANCED WOUND CARE MEDICAL PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE CARMEL JACQUES MD (PRESIDENT)
(516) 478-9303
Entity
Organization
Contact information
Practice address
31 TEC ST, HICKSVILLE, NY 11801-3618
(516) 478-9303
(516) 932-3672
Mailing address
31 TEC ST, HICKSVILLE, NY 11801-3618
(516) 478-9303
(516) 932-3672
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/05/2006
Last updated
08/22/2020
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