Organization Name: | WENDY R. YOUNG-GOMERMAN DPM |
NPI Number: | 1932385119 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WENDY YOUNG (OWNER) |
Mailing Address: | 488 Great Neck Rd Great Neck |
State: | NY US |
Postal Code: | 110214308 |
Phone Number: | 5164661151 |
Fax Number: | 5164661152 |
NPI Enumeration Date: | 01/17/2008 |
NPI Last Update Date: | 07/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | N005265 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |