Organization
STOCKHOLM OBSTETRICS & GYNECOLOGICAL SERVICES, PC
Active
Organization
STOCKHOLM OBSTETRICS & GYNECOLOGICAL SERVICES, PC
Active
Parent organization
STOCKHOLM OBSTETRICS & GYNECOLOGICAL SERVICES, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STOCKHOLM OBSTETRICS & GYNECOLOGICAL SERVICES, PC
Authorized official
FRANK VUTRANO (CHIEF FINANCIAL OFFICER)
(718) 963-6702
Entity
Organization
Contact information
Practice address
1419 MYRTLE AVE, WYCKOFF DOCTORS, BROOKLYN, NY 11237-4512
(718) 783-0934
(718) 857-0162
Mailing address
374 STOCKHOLM STREET, WYCKOFF HEIGHTS MEDICAL CENTER - FACULTY PRACTICE, BROOKLYN, NY 11237
(718) 963-7272
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03299956
—
NY
Enumeration date
12/08/2015
Last updated
06/14/2016
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