Woodbine Medical PC

NPI #1225199789 in Ridgewood, New York

Provider Information

NPI Number: 1225199789
Entity Type: Organization
Organization Name: Woodbine Medical PC
Primary Specialty: Specialist
Enumeration Date: Dec 12, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 714 SENECA AVE
City: Ridgewood
State: New York
ZIP Code: 11385-2895
Phone: (718) 418-5320

Authorized Official

Name: DAVID CARMILI
Title: DIRECTOR OFFICER
Phone: (718) 418-5320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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