Wyckoff Anesthesia and Medical Services, PC

NPI #1790196079 in Middle Village, New York

Provider Information

NPI Number
1790196079
Entity Type
Organization
Organization Name
Wyckoff Anesthesia and Medical Services, PC
Subpart
Yes (part of a larger organization)
Parent Organization
WYCKOFF ANESTHESIA AND MEDICAL SERVICES, PC
Primary Specialty
Clinic/Center
Enumeration Date
May 8, 2014
Last Updated
May 8, 2014

Practice Location

Address
75-54 METROPOLITAN AVENUE
Address 2
FAMILY HEALTH CENTER OF MIDDLE VILLAGE
ZIP Code
11378
Phone
(718) 894-4200

Authorized Official

Name
FRANK VUTRANO
Title
CHIEF FINANCIAL OFFICER
Phone
(718) 963-6702

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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