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NPI Code Detail

MEDICARE: METROPOLITAN HYPERBARIC AND ADVANCED WOUND CARE

MEDICARE: METROPOLITAN HYPERBARIC AND ADVANCED WOUND CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0011XUndersea and Hyperbaric Medicine (Preventive Medicine) Physician166768NY

General Provider Information

NPI Number : 1740474899
Entity Type Code : Organization
Provider Name (Legal Business Name) : METROPOLITAN HYPERBARIC AND ADVANCED WOUND CARE
Provider Business Mailing Address
First Line : 4250 HEMPSTEAD TPKE
Second Line : STE. 23
City : BETHPAGE
State : NY
Zip : 11714-5711
Country : US
Telephone Number : 516-735-8850
Fax Number : 516-735-1056
Provider Business Practice Location Address
First Line : 374 STOCKHOLM ST
Second Line : 3RD FLOOR
City : BROOKLYN
State : NY
Zip : 11237-4006
Country : US
Telephone Number : 718-208-2481
Fax Number : 718-208-2480
Authorized Official
Title or Position : OWNER
Name : DR. FRANK LEWIS ROSS
Credential : M.D.
Telephone Number : 516-735-8850
Provider Enumeration Date : 08/31/2007
Last Update Date : 08/31/2007

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