Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Integrated Wound Care New York Medical PLLC

Organization General Practice Physician · NPI 1639649643

Integrated Wound Care New York Medical PLLC provides General Practice Physician services in Tappan, New York. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

22 Liberty Rd
Tappan, NY 10983-1815
Phone: (732) 451-4318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1639649643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Lusas — Member · (732) 451-4318
NPI enumeratedDecember 3, 2018
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address492c Cedar Ln Ste 514, Teaneck, NJ 07666-1713