WOUND TREATMENT MEDICAL ASSOCIATES OF THE SOUTH SHORE – NPI #1740372903
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

WOUND TREATMENT MEDICAL ASSOCIATES OF THE SOUTH SHORE is an AHC clinic located in VALLEY STREAM, NY. NPPES has assigned the NPI number 1740372903 to WOUND TREATMENT MEDICAL ASSOCIATES OF THE SOUTH SHORE on September 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 6 years ago on Apr 15, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WOUND TREATMENT MEDICAL ASSOCIATES OF THE SOUTH SHORE below.

NPI Profile for
WOUND TREATMENT MEDICAL ASSOCIATES OF THE SOUTH SHORE

NPI Number
1740372903
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WOUND TREATMENT MEDICAL ASSOCIATES OF THE SOUTH SHORE
Primary location
900 FRANKLIN AVENUE
WOUND TREATMENT MEDICAL ASSOCIATES OF THE SOUTH SHORE
VALLEY STREAM, NY 11580
Phone: (516) 256-6576 Fax: (516) 256-6888
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LIZ VANDEWATER
OFFICE MANAGER
Phone: (516) 256-6576
Updated
Certification Date
Apr 15, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 NY 137566

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.