Organization
WYCKOFF HEIGHTS MEDICAL SERVICES PC
Active
Other names
Wyckoff Anesthesia Medical Services PC, Wyckoff Anesthesia and Medical Services PC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALI GACHE (CFO)
(718) 240-1795
Entity
Organization
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237
(718) 963-6485
(718) 963-6793
Mailing address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-6485
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0120X
Pediatric Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03299167
—
NY
Enumeration date
06/03/2006
Last updated
04/03/2019
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