Wound Pros New York
General Practice in Brighton, NY. Organization (NPI-2).
NPI number1982242525
StatusActive
Last updated in NPPESMay 23, 2022
Details
- NPI
- 1982242525
- Entity type
- Organization (NPI-2)
- Legal business name
- Wound Pros New York
- Organization subpart
- No
- Enumeration date
- Dec 13, 2019
- Certification date
- May 23, 2022
- Last updated
- May 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
400 White Spruce Blvd Ste 134Brighton, NY 14623
Phone 323-545-3676 · Fax 323-433-9177
Mailing address
4640 Admiralty Way Ste 500Marina Del Rey, CA 90292-6636
Phone 818-836-2475 · Fax 323-433-9177
Authorized official
Christopher Ayodele Otiko
President
8188362475
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.