Integrated Wound Care New York Medical Pllc

NPI #1639649643 in Tappan, New York

Provider Information

NPI Number: 1639649643
Entity Type: Organization
Organization Name: Integrated Wound Care New York Medical Pllc
Primary Specialty: General Practice
Enumeration Date: Dec 3, 2018
Last Updated: Jul 23, 2025

Practice Location

Address: 22 LIBERTY RD
City: Tappan
State: New York
ZIP Code: 10983-1815
Phone: (732) 451-4318

Authorized Official

Name: DR. DIANE LUSAS, MD
Title: MEMBER
Phone: (732) 451-4318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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