Wyckoff Emergency Medicine Services, P.C.

LBN: Wyckoff Emergency Medicine Services, P.C.
Wyckoff Emergency Medicine Services, P.C. is an health care organization with primary practice located at 374 Stockholm St , Brooklyn NY 11237-4006. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Wyckoff Emergency Medicine Services, P.C. can be contacted via phone (718) 963-6551, or through Irizarry, Lisandro via phone (718) 963-6551.

Contact Information

Primary practice address
374 Stockholm St Brooklyn NY 11237-4006
Phone: (718) 963-6551
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Irizarry, Lisandro Doctor of Medicine (MD)
Phone: (718) 963-6551

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1154369783
LBN Legal business name Wyckoff Emergency Medicine Services, P.C.
DBA Doing business as
Authorized official Irizarry, Lisandro Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Apr 3rd, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154369783 NPPES
New York MEDICAID 03307811

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