DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WYCKOFF PEDIATRIC CARE CENTER

Deactivated Organization

WYCKOFF PEDIATRIC CARE CENTER is a Pediatrics organization located in BROOKLYN, New York. NPI 1972926814 is deactivated in the NPPES registry. Verify at CMS.

Pediatrics · BROOKLYN, NY

This NPI has been deactivated. The record was deactivated on June 29, 2015. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1972926814
Provider Type
Organization
NPI Issued
Jan 29, 2014 (1.413698630137 yrs)
Last Updated
Apr 2, 2019
Deactivated
Jun 29, 2015

Practice Information

Address
1411 MYRTLE AVE
1411 MYRTLE AVENUE
BROOKLYN, NY, 112374512
Browse NY providers · Browse ZIP 11237
Phone
7189074301
Fax
7189191309
Primary Specialty
Pediatrics
208000000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.