| NPI | 1700824372 |
|---|---|
| Former Legal Business Name | WYCKOFF ANESTHESIA MEDICAL SERVICES PC |
| Former Legal Business Name | WYCKOFF ANESTHESIA AND MEDICAL SERVICES PC |
| Entity Type | Organization |
| Authorized Contact | VALI GACHE CFO 718-240-1795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 152W00000X Optometrist |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207T00000X Neurological Surgery | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208200000X Plastic Surgery | |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| 2086S0120X Surgery, Pediatric Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| 208800000X Urology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2019-04-03 |