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Organization

WYCKOFF DR. GUBERMAN WYCKOFF HEIGHTS MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE T NGUYEN (DOCTOR OF PODIATRIC MEDICINE)
(832) 877-5749
Entity
Organization

Contact information

Practice address
1488 BUSCHWICK AVE, APT #4C, BROOKLYN, NY 11207
(832) 877-5749
Mailing address
1488 BUSHWICK AVE APT 4C, BROOKLYN, NY 11207-1636

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
N004232
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N004232
DR. GUBERMAN
NY
Enumeration date
06/18/2015
Last updated
06/18/2015
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