Wound Pros New York | |
400 White Spruce Blvd Ste 134 Brighton NY 14623 | |
(323) 545-3676 | |
(323) 433-9177 |
Full Name | Wound Pros New York |
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Speciality | General Practice |
Location | 400 White Spruce Blvd Ste 134, Brighton, New York |
Authorized Official Name and Position | Christopher Ayodele Otiko (PRESIDENT) |
Authorized Official Contact | 8188362475 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wound Pros New York 4640 Admiralty Way Ste 500 Marina Del Rey CA 90292-6636 Ph: (818) 836-2475 | Wound Pros New York 400 White Spruce Blvd Ste 134 Brighton NY 14623 Ph: (323) 545-3676 |
NPI Number | 1982242525 |
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Provider Enumeration Date | 12/13/2019 |
Last Update Date | 05/23/2022 |
Identifier | Type | State | Issuer |
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1982242525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |