| Advanced Wound Care Medical Practice, Pc | |
|
31 Tec St Hicksville NY 11801-3618 | |
| (516) 478-9303 | |
| (516) 932-3672 |
| Full Name | Advanced Wound Care Medical Practice, Pc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 31 Tec St, Hicksville, New York |
| Authorized Official Name and Position | Marie Carmel Jacques (PRESIDENT) |
| Authorized Official Contact | 5164789303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wound Care Medical Practice, Pc 31 Tec St Hicksville NY 11801-3618 Ph: (516) 478-9303 | Advanced Wound Care Medical Practice, Pc 31 Tec St Hicksville NY 11801-3618 Ph: (516) 478-9303 |
| NPI Number | 1295783934 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295783934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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