National Provider Identifier Database

NY FEMALE PELVIC RECONSTRUCTIVE SURGERY PLLC
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

NY FEMALE PELVIC RECONSTRUCTIVE SURGERY PLLC
7203 13TH AVE
BROOKLYN, NY11228
Phone: 718-238-5454
Fax:
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for NY FEMALE PELVIC RECONSTRUCTIVE SURGERY PLLC

NPI Number 1093292864
Legal business name
LBN
NY FEMALE PELVIC RECONSTRUCTIVE SURGERY PLLC
Authorized official CEDRIC OLIVERA - (MANAGING MEMBER)
Entity Organization
Organization subpart No
Enumeration date 07/25/2018
Last updated 08/20/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 236536
  • NY Medicaid: 03052540

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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