1619047073 NPI number — ASSOCIATES FOR WOMEN'S CARE, LLP

Table of content: (NPI 1619047073)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619047073 NPI number — ASSOCIATES FOR WOMEN'S CARE, LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASSOCIATES FOR WOMEN'S CARE, LLP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
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Provider Other Name Prefix Text:
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Provider Other Credential Text:
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NPI Number Information

NPI Number:
1619047073
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
700 POST RD
Provider Second Line Business Mailing Address:
SUITE 270
Provider Business Mailing Address City Name:
SCARSDALE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10583-5063
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-423-4111
Provider Business Mailing Address Fax Number:
914-423-3185

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
THE WHITEHALL, SUITE 1C
Provider Second Line Business Practice Location Address:
3333 HENRY HUDSON PARKWAY
Provider Business Practice Location Address City Name:
RIVERDALE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10463
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-543-5624
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/09/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WALDMAN
Authorized Official First Name:
JOSHUA
Authorized Official Middle Name:
Authorized Official Title or Position:
DELEGATED OFFICIAL
Authorized Official Telephone Number:
914-423-4111

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  198355 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)