Healthcare Provider Details

I. General information

NPI: 1457245045
Provider Name (Legal Business Name): REMEDY WOUND CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 SILVERSTONE RD
REMSEN NY
13438-6211
US

IV. Provider business mailing address

235 SILVERSTONE RD
REMSEN NY
13438-6211
US

V. Phone/Fax

Practice location:
  • Phone: 315-569-5318
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MS. COLLEEN COMMISSO
Title or Position: MANAGER
Credential:
Phone: 315-569-5318