Wyckoff Doctors
Clinic/Center

Address: 1610 Dekalb Avenue, Wyckoff Doctors, Brooklyn, NY 11237-3906
Phone: 7189637676

Wyckoff Doctors (NPI# 1790164317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1790164317
Entity Type Organization
Organization Name WYCKOFF DOCTORS
Practice Address 1610 Dekalb Avenue
Wyckoff Doctors
Brooklyn
NY 11237-3906
Practice Telephone 7189637676
Practice Fax Number 7189636667
Mailing Address 374 Stockholm Street
Wyckoff Professional Medical Services, PC - Faculty Pra
Brooklyn
NY 11237-4006
Mailing Telephone 7189637676
Mailing Fax Number 7189636667
Authorized Official Name Mr. Frank Vutrano (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 7189636702
Organization Subpart Yes, this organization is a Subpart
Parent Organization Name WYCKOFF PROFESSIONAL MEDICAL SERVICES PC
Enumeration Date 2015-05-28
Last Update Date 2016-08-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Identifier Issuer Type Code
NY 03722025 MEDICAID

Providers with the same name

NPI Name Taxonomy Address Enumeration
1811347404 Wyckoff Doctors Clinic/Center 1419 Myrtle Avenue, Wyckoff Doctors, Brooklyn, NY 11237-4512 2016-06-15

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1629564950 Brownsville Chiropractic, PC Clinic/Center 409 Rockaway Ave Fl 2, Brooklyn, NY 11212-5635 2018-07-10
1144768458 New Solution Home Care Inc Clinic/Center 722 E 4th St, Brooklyn, NY 11218-5704 2017-02-07
1619412988 Jpc Medical PC Clinic/Center 1552 Ralph Ave, Brooklyn, NY 11236-3129 2016-12-22
1104379593 Wyckoff Heights Medical Center Clinic/Center 545 Christopher Ave, Brooklyn, NY 11212-7029 2016-08-02
1245695030 Wyckoff Heights Dental Services, PC Clinic/Center Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 2015-12-21
1205201837 Wyckoff Professional Medical Services PC Clinic/Center 1419 Myrtle Ave, Wyckoff Doctors, Brooklyn, NY 11237-4512 2015-12-08
1053789727 Academy of Medical & Public Health Services Clinic/Center 5306 3rd Ave, 2nd Floor, Brooklyn, NY 11220-2601 2015-09-11
1679975791 Brownsville Family Medical Care,p.c. Clinic/Center 2995 Ocean Parkway 2nd Floor, Brooklyn, NY 11235-8387 2014-09-19
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Office Location

Street Address 1610 DEKALB AVENUE
WYCKOFF DOCTORS
City BROOKLYN
State NY
Zip Code 11237-3906

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194379644 Giovanna Fiorella Ramirez Barbieri Obstetrics & Gynecology 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 2019-08-01
1013575554 Miseon Kang Counselor Brooklyn Psychotherapy, 148 Wilson Ave, Brooklyn, NY 11237 2019-05-30
1023598943 Kathryn Falk Speech-Language Pathologist Ps 376 C/o Kathryn Falk, 194 Harman Street, Brooklyn, NY 11237 2018-08-20
1437648870 Dawn Tya Chapin Student in an Organized Health Care Education/Training Program Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237 2018-05-01
1518410471 Cameron Hetzler Dentist 374 Stockholm St., Brooklyn, NY 11237 2016-07-27
1215399043 Rose R Capuz Skilled Nursing Facility 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 2016-03-22
1245695030 Wyckoff Heights Dental Services, PC Clinic/Center Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 2015-12-21
1245615442 Estefany Sanchez Mendez Pediatrics 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 2015-07-29
1033507231 Macarena Rufin Counselor 315 Wyckoff Ave., 6th Floor, Brooklyn, NY 11237 2014-12-23
1740691021 Wyckoff Anesthesia and Medical Services, PC Clinic/Center 93-95 Wyckoff Ave, Wyckoff Anesthesia and Medical Services, PC, Brooklyn, NY 11237 2014-05-08
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Competitor

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City BROOKLYN
Zip Code 11237

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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