Organization
WYCKOFF HEIGHTS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD GUBERMAN D.P.M. (RESIDENT PHYSICIAN)
(770) 715-3298
Entity
Organization
Contact information
Practice address
653 KNICKERBOCKER AVE, APT 3R, BROOKLYN, NY 11221-5040
(770) 715-3298
Mailing address
653 KNICKERBOCKER AVE, APT 3R, BROOKLYN, NY 11221-5040
(770) 715-3298
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
N004232
NY
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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