National Provider Identifier
Wound Care Medical Associates PC
Wound Care Medical Associates PC is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 922-4325.
Profile Overview
- NPI
- 1770003857
- Provider Type
- Organization
- Primary Specialty
- Specialist
- Enumeration Date
- June 21, 2017
- Last Updated
- November 09, 2023
Practice Location
- 1500 Portland Ave
- Rochester, NY 14621-3065
Phone: (585) 922-4325
Mailing Address
- 1500 Portland Avenue
- Attention Wound Center Medical Associates
- Rochester, NY 14621-3065
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1770003857
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Wound Care Medical Associates PC
- Mailing Street Address
- 1500 Portland Avenue
- Mailing Address Line 2
- Attention Wound Center Medical Associates
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3065
- Mailing Country
- US
- Mailing Phone
- (585) 922-4325
- Mailing Fax
- (585) 413-5011
- Practice Street Address
- 1500 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3065
- Practice Country
- US
- Practice Phone
- (585) 922-4325
- Enumeration Date
- June 21, 2017
- Last Updated
- November 09, 2023
- Authorized Official Last Name
- Samuels
- Authorized Official First Name
- Adelaida
- Authorized Official Title
- Director
- Authorized Official Phone
- (585) 697-6337
- Organization Subpart
- No
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- November 07, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)