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 is a Geriatric Medicine (Internal Medicine) Physician 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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