| American Wound Care Medicine Pllc | |
|
888 Veterans Memorial Hwy Ste 220 Hauppauge NY 11788-2940 | |
| (251) 901-3011 | |
| (251) 901-3011 |
| Full Name | American Wound Care Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 888 Veterans Memorial Hwy Ste 220, Hauppauge, New York |
| Authorized Official Name and Position | Saba Azizi-ghannad (OWNER) |
| Authorized Official Contact | 2519013011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Wound Care Medicine Pllc Po Box 8209 Vienna VA 22183-2058 Ph: (251) 901-3011 | American Wound Care Medicine Pllc 888 Veterans Memorial Hwy Ste 220 Hauppauge NY 11788-2940 Ph: (251) 901-3011 |
| NPI Number | 1942074653 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 05/14/2026 |
| Medicare PECOS PAC ID | 6709237118 |
|---|---|
| Medicare Enrollment ID | O20240110003303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942074653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Myrna Mattar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235303066 PECOS PAC ID: 3779657895 Enrollment ID: I20080806000789 |
| Provider Name | Rahul Karwal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275859662 PECOS PAC ID: 9537386057 Enrollment ID: I20140807000078 |
| Provider Name | Anuoluwa Adeola Giwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497131478 PECOS PAC ID: 4880935477 Enrollment ID: I20190409000689 |
| Provider Name | Joseph Anthony Sferrazza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700474509 PECOS PAC ID: 7517372543 Enrollment ID: I20210224001711 |
| Provider Name | Jennifer Polatchek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245793900 PECOS PAC ID: 6002243672 Enrollment ID: I20211202001328 |
| Provider Name | Bari J Weissman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043980832 PECOS PAC ID: 9537541834 Enrollment ID: I20220803001894 |
| Provider Name | Judy I Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689317711 PECOS PAC ID: 5496122533 Enrollment ID: I20221102003516 |
| Provider Name | Saba Azizi-ghannad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295255842 PECOS PAC ID: 3072920651 Enrollment ID: I20240110003559 |
| Provider Name | Cinthia Lariviere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740820455 PECOS PAC ID: 6103369731 Enrollment ID: I20240624001633 |
| Provider Name | Nelli Yakubov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275373599 PECOS PAC ID: 7719423516 Enrollment ID: I20240729000129 |
| Provider Name | Alan Gerald Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881077667 PECOS PAC ID: 3678828332 Enrollment ID: I20250102001148 |
Family Residences & Essential Enterprises, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Plant Ave, Hauppauge, NY 11788 Phone: 631-273-1300 Fax: 631-273-4342 | |
Community Family Health Np, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 750 Veterans Memorial Highway, Suite 205, Hauppauge, NY 11788 Phone: 718-801-6318 Fax: 718-798-0988 | |
High Horizon Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1363 Veterans Hwy Ste 33, Hauppauge, NY 11788 Phone: 516-454-1931 | |
Michael Rodriguez, Md Medical Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Woodbury Rd, Hauppauge, NY 11788 Phone: 631-793-3557 | |
Ime Med Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 Mount Pleasant Rd, Hauppauge, NY 11788 Phone: 631-223-9479 | |
Sekhar Gollapalli Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 497 Townline Rd, Hauppauge, NY 11788 Phone: 631-724-2340 Fax: 631-724-2342 | |
Premier Family Medical Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 Mount Pleasant Rd, Hauppauge, NY 11788 Phone: 631-724-9394 Fax: 631-724-8076 |