Provider Demographics
NPI:1477115251
Name:WYCKOFF HEIGHTS MEDICAL CENTER
Entity Type:Organization
Organization Name:WYCKOFF HEIGHTS MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR, CREDENTIALS
Authorized Official - Prefix:
Authorized Official - First Name:JOLANTA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIKORSKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-963-6466
Mailing Address - Street 1:559 FOX ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-3527
Mailing Address - Country:US
Mailing Address - Phone:347-301-7398
Mailing Address - Fax:
Practice Address - Street 1:374 STOCKHOLM ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-4006
Practice Address - Country:US
Practice Address - Phone:718-963-7272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty