- Practice location
- 22 Liberty RD, Tappan, NY 10983-1815
- Phone
- 732-451-4318
- Fax
- —
- Last updated
- October 26, 2026
Innovative Wound Consulting Medical Services Ny PLLC is a healthcare organization based in Tappan, NY. Innovative Wound Consulting Medical Services Ny PLLC practices in Tappan, NY. The NPI Number for Innovative Wound Consulting Medical Services Ny PLLC is 1760380380. The current practice location address for Innovative Wound Consulting Medical Services Ny PLLC is 22 Liberty RD, Tappan, NY 10983-1815 and can be reached out via phone at 732-451-4318.
Provider Profile Details
- NPI Number
- 1760380380
- Provider Name
- Innovative Wound Consulting Medical Services Ny PLLC
- Provider Entity Type
- Organization
- Address
- 22 Liberty RD, Tappan, NY 10983-1815
- Phone Number
- 732-451-4318
- Primary Taxonomy
- Dermatology · 207N00000X
- Organization Subpart
- No
- Authorized Official
- Diane Lusas · Owner · 732-451-4318
- Provider Enumeration Date
- October 26, 2026
- Last Update Date
- October 26, 2026
- Certification Date
- October 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Liberty RD
Tappan, NY 10983-1815 - City
- Tappan
- State
- New York
- Zip
- 10983-1815
- Phone Number
- 732-451-4318
Provider Business Mailing Address Details
- Address
- 492C Cedar Ln Ste 514
Teaneck, NJ 07666-1713 - City
- Teaneck
- State
- NJ
- Zip
- 07666-1713
License Information
- Taxonomy (1)
- Dermatology · 207N00000X · Primary
- Taxonomy (2)
- Preventive Medicine, Public Health & General Preventive Medicine · 2083P0901X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Innovative Wound Consulting Medical Services Ny PLLC?
The NPI number of Innovative Wound Consulting Medical Services Ny PLLC is 1760380380. It was assigned on October 26, 2026 and is currently active in the NPPES registry.
What is the specialty of Innovative Wound Consulting Medical Services Ny PLLC?
Innovative Wound Consulting Medical Services Ny PLLC is registered under the primary taxonomy Dermatology (code 207N00000X).
Where does Innovative Wound Consulting Medical Services Ny PLLC practice?
The practice location is 22 Liberty RD, Tappan, NY 10983-1815. The office can be reached at 732-451-4318 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760380380 directly on the NPPES registry website.