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WYCKOFF DOCTORS
NPI 1811347404
Clinic/Center - Multi-Specialty in Brooklyn, NY

Active since June 15, 2016CLIA 33D2108443 · Waiver
1419 MYRTLE AVENUE, WYCKOFF DOCTORS, BROOKLYN, NY 11237(718) 783-0934 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wyckoff Doctors NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYCKOFF DOCTORS (NPI 1811347404) is a healthcare organization registered as a multi-specialty in Brooklyn, New York and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Frank Vutrano, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1811347404
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameWYCKOFF DOCTORS
Location Address1419 MYRTLE AVENUE, WYCKOFF DOCTORSBrooklyn, NY 11237-4512
Mailing Address374 Stockholm Street, Wyckoff DoctorsBrooklyn, NY 11237-4006 · (718) 963-7676
Phone(718) 783-0934
Organization SubpartYesParent: Wyckoff Medical Associates, Pc
Authorized OfficialFrank VutranoChief Financial Officer · (718) 963-6702
Enumeration DateJune 15, 2016
✔ NPI 1811347404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1419 MYRTLE AVENUE, Brooklyn, NY 11237
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2108443

Wyckoff Doctor · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2108443
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateFebruary 4, 2016
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Wilhelmina P. Cruz-Vetrano
Laboratory Phone(718) 963-7676
Laboratory LocationWyckoff Doctor1419 Myrtle Ave, Brooklyn, NY 11237
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is WYCKOFF DOCTORS's NPI number?

The NPI number assigned to this healthcare provider is 1811347404, enumerated as an "organization" on June 15, 2016.

Where is the provider located?

The provider is located at 1419 MYRTLE AVENUE WYCKOFF DOCTORS BROOKLYN, NY 11237 and the phone number is (718) 783-0934.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.