OrganizationActive
Advanced Wound Care Medical Practice, PC
NPI 1295783934 · Geriatric Medicine (Internal Medicine) Physician · Hicksville, NY
Provider details
- NPI number
- 1295783934
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marie Jacques, President(516) 478-9303
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
31 Tec St
Hicksville, NY 11801-3618
Phone: (516) 478-9303
Fax: (516) 932-3672
Approximate (ZIP-level) locationGet directions
Mailing address
31 Tec St
Hicksville, NY 11801-3618
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.