Innovation Wound Care Associates, LLC

NPI #1003244138 in Valley Stream, New York

Provider Information

NPI Number: 1003244138
Entity Type: Organization
Organization Name: Innovation Wound Care Associates, LLC
Primary Specialty: Specialist
Enumeration Date: Oct 29, 2013
Last Updated: Oct 29, 2013

Practice Location

Address: 20 E SUNRISE HWY
Address 2: SUITE 301
City: Valley Stream
State: New York
ZIP Code: 11581-1260
Phone: (516) 569-2828

Authorized Official

Name: DR. GILBERT G. MAKABALI, MD
Title: PRESIDENT
Phone: (516) 569-2828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X
Specialist	174400000X	Primary

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