| Wound Pros New York | |
|
400 White Spruce Blvd Ste 134 Brighton NY 14623 | |
| (323) 545-3676 | |
| (323) 433-9177 |
| Full Name | Wound Pros New York |
|---|---|
| Speciality | General Practice |
| Location | 400 White Spruce Blvd Ste 134, Brighton, New York |
| Authorized Official Name and Position | Christopher Ayodele Otiko (PRESIDENT) |
| Authorized Official Contact | 8188362475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Pros New York 4640 Admiralty Way Ste 500 Marina Del Rey CA 90292-6636 Ph: (818) 836-2475 | Wound Pros New York 400 White Spruce Blvd Ste 134 Brighton NY 14623 Ph: (323) 545-3676 |
| NPI Number | 1982242525 |
|---|---|
| Provider Enumeration Date | 12/13/2019 |
| Last Update Date | 05/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982242525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |