Wyckoff Family Medical Services | |
125 Alex Cir Staten Island NY 10305-4765 | |
(917) 744-0378 | |
Not Available |
Full Name | Wyckoff Family Medical Services |
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Speciality | Family Medicine |
Location | 125 Alex Cir, Staten Island, New York |
Authorized Official Name and Position | Joanne Campbell (MANAGER) |
Authorized Official Contact | 7189637272 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wyckoff Family Medical Services 374 Stockholm St Brooklyn NY 11237-4006 Ph: () - | Wyckoff Family Medical Services 125 Alex Cir Staten Island NY 10305-4765 Ph: (917) 744-0378 |
NPI Number | 1083792378 |
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Provider Enumeration Date | 11/02/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083792378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 223830 (New York) | Primary |
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