Provider Demographics
NPI:1821072281
Name:HYPERBARIC MEDICINE & WOUND CARE ASSOCIATES
Entity Type:Organization
Organization Name:HYPERBARIC MEDICINE & WOUND CARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:C
Authorized Official - Last Name:RUOTSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-298-3012
Mailing Address - Street 1:5300 MILITARY RD
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:NY
Mailing Address - Zip Code:14092-1903
Mailing Address - Country:US
Mailing Address - Phone:716-298-3012
Mailing Address - Fax:716-298-3016
Practice Address - Street 1:5300 MILITARY RD
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:NY
Practice Address - Zip Code:14092-1903
Practice Address - Country:US
Practice Address - Phone:716-298-3012
Practice Address - Fax:716-298-3016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty
Not Answered207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0644Medicare ID - Type Unspecified