WOUND PROS NEW YORK – NPI #1982242525
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

WOUND PROS NEW YORK is a provider located in BRIGHTON, NY. NPPES has assigned the NPI number 1982242525 to WOUND PROS NEW YORK on December 13, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 4 years ago on May 23, 2022. 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 PROS NEW YORK below.

NPI Profile for
WOUND PROS NEW YORK

NPI Number
1982242525
Enumeration Date

(more than 6 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 PROS NEW YORK
Primary location
400 WHITE SPRUCE BLVD STE 134
BRIGHTON, NY 14623
Phone: (323) 545-3676 Fax: (323) 433-9177
Mailing address
4640 ADMIRALTY WAY STE 500
MARINA DEL REY, CA 90292-6636
Phone: (818) 836-2475 Fax: (323) 433-9177
Organization Subpart
No
Authorized Official
CHRISTOPHER OTIKO
PRESIDENT
Phone: (818) 836-2475
Updated
Certification Date
May 23, 2022

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
208D00000X
- General Practice (Primary)
332B00000X
- Durable Medical Equipment & Medical Supplies

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.