| Stockholm Obstetrics & Gynecological Services, Pc | |
|
1419 Myrtle Ave Wyckoff Doctors Brooklyn NY 11237-4512 | |
| (718) 783-0934 | |
| (718) 857-0162 |
| Full Name | Stockholm Obstetrics & Gynecological Services, Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 1419 Myrtle Ave, Brooklyn, New York |
| Authorized Official Name and Position | Frank Vutrano (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7189636702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stockholm Obstetrics & Gynecological Services, Pc 374 Stockholm Street Wyckoff Heights Medical Center - Faculty Practice Brooklyn NY 11237 Ph: (718) 963-7272 | Stockholm Obstetrics & Gynecological Services, Pc 1419 Myrtle Ave Wyckoff Doctors Brooklyn NY 11237-4512 Ph: (718) 783-0934 |
| NPI Number | 1932574563 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 06/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932574563 | NPI | - | NPPES |
| 03299956 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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