Provider Demographics
NPI:1568608362
Name:GLOBAL WOUND CARE PRODUCTS INC
Entity Type:Organization
Organization Name:GLOBAL WOUND CARE PRODUCTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALENA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASTOPCHINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-889-4565
Mailing Address - Street 1:3678 OCEANSIDE RD W STE 103
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-5981
Mailing Address - Country:US
Mailing Address - Phone:516-889-4565
Mailing Address - Fax:516-889-4545
Practice Address - Street 1:3678 OCEANSIDE RD W STE 103
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-5981
Practice Address - Country:US
Practice Address - Phone:516-889-4565
Practice Address - Fax:516-889-4545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-29
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6621630001Medicare NSC