Provider Demographics
NPI:1992681662
Name:WOUND WORKS MEDICAL PC
Entity type:Organization
Organization Name:WOUND WORKS MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIDOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-261-0900
Mailing Address - Street 1:108-16 72ND AVE
Mailing Address - Street 2:FLOOR 3
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5656
Mailing Address - Country:US
Mailing Address - Phone:718-261-0900
Mailing Address - Fax:718-261-0944
Practice Address - Street 1:108-16 72ND AVE
Practice Address - Street 2:FLOOR 3
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5656
Practice Address - Country:US
Practice Address - Phone:718-261-0900
Practice Address - Fax:718-261-0944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty