| Wyckoff Heights Medical Center | |
|
545 Christopher Ave Brooklyn NY 11212-7029 | |
| (347) 466-6341 | |
| Not Available |
| Full Name | Wyckoff Heights Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 545 Christopher Ave, Brooklyn, New York |
| Authorized Official Name and Position | Desiree Bullock (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 3474666341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyckoff Heights Medical Center 545 Christopher Ave Brooklyn NY 11212-7029 Ph: () - | Wyckoff Heights Medical Center 545 Christopher Ave Brooklyn NY 11212-7029 Ph: (347) 466-6341 |
| NPI Number | 1104379593 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 08/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104379593 | NPI | - | NPPES |
| RO40749-1 | Other | NY | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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