Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Wound Care Medical Practice, PC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1295783934

Advanced Wound Care Medical Practice, PC provides Geriatric Medicine (Internal Medicine) Physician services in Hicksville, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

31 Tec St
Hicksville, NY 11801-3618
Phone: (516) 478-9303
Fax: (516) 932-3672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1295783934
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marie Jacques — President · (516) 478-9303
NPI enumeratedMay 5, 2006
Last updated in NPPESAugust 22, 2020
Mailing address31 Tec St, Hicksville, NY 11801-3618

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