Woodbine Medical Pc in Ridgewood - Specialist

Woodbine Medical Pc - NPI 1225199789

Woodbine Medical Pc is a Specialist in Ridgewood, New York. Woodbine Medical Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Woodbine Medical Pc is 1225199789. The last update date is 2020-08-22.

Woodbine Medical Pc's current location address is 714 Seneca Ave, Ridgewood, New York. You can contact this provider via phone number 7184185320. The mailing address for Woodbine Medical Pc is 714 Seneca Ave, Ridgewood, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Woodbine Medical Pc
Address 714 Seneca Ave, Ridgewood, New York
Phone Number 7184185320
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Carmili David
Telephone Number 7184185320

NPI Number Detail

NPI Number 1225199789
Provider Enumeration Date 2006-12-12
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 714 Seneca Ave
City Ridgewood
State New York (NY)
Post Code 113852895
Phone Number 7184185320
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 22692
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2632117 NY --

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FAQs about Woodbine Medical Pc

What is the unique identification code assigned to Woodbine Medical Pc by the Centers for Medicare & Medicaid Services?

The Woodbine Medical Pc has been issued the NPI (National Provider Identifier) 1225199789. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Woodbine Medical Pc's facilities are situated?

The facilities of Woodbine Medical Pc are physically located at the following address: 714 Seneca Ave, Ridgewood, NY, 113852895.

What is the Woodbine Medical Pc's area of specialization and corresponding taxonomy classification?

The Woodbine Medical Pc's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1225199789 to Woodbine Medical Pc?

The Centers for Medicare & Medicaid Services assigned the 1225199789 to Woodbine Medical Pc on 2006-12-12.

When was the information regarding Woodbine Medical Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Woodbine Medical Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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