OrganizationActive
Advanced Home Wound Healing & Wellness LLC
NPI 1265365050 · Family Medicine Physician · Staten Island, NY
Provider details
- NPI number
- 1265365050
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wislande Fleurissant, Nurse Practitioner(973) 489-9615
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
357 Swinnerton St
Staten Island, NY 10307-1644
Phone: (609) 442-6803
Approximate (ZIP-level) locationGet directions
Mailing address
357 Swinnerton St
Staten Island, NY 10307-1644
Registry dates
- Enumerated
- 2026-06-03
- Last updated
- 2026-06-03
- Certified
- 2026-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.