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Organization

WYCKOFF DOCTORS

Active
Parent organization
WYCKOFF MEDICAL ASSOCIATES, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
WYCKOFF MEDICAL ASSOCIATES, PC
Authorized official
FRANK VUTRANO (CHIEF FINANCIAL OFFICER)
(718) 963-6702
Entity
Organization

Contact information

Practice address
1419 MYRTLE AVENUE, WYCKOFF DOCTORS, BROOKLYN, NY 11237-4512
(718) 783-0934
Mailing address
374 STOCKHOLM STREET, WYCKOFF DOCTORS, BROOKLYN, NY 11237-4006
(718) 963-7676

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
06/15/2016
Last updated
06/15/2016
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