NY FEMALE PELVIC RECONSTRUCTIVE SURGERY PLLC; NPI #1093292864

Contact Information

NY FEMALE PELVIC RECONSTRUCTIVE SURGERY PLLC

7203 13TH AVE
BROOKLYN, NY 11228

Phone: 718-238-5454
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gynecology	207VG0400X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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NPI Profile & details for NY FEMALE PELVIC RECONSTRUCTIVE SURGERY PLLC

NPI Number 1093292864

LBN Legal business name NY FEMALE PELVIC RECONSTRUCTIVE SURGERY PLLC

Authorized official CEDRIC OLIVERA - (MANAGING MEMBER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/25/2018

Last updated 08/20/2018 - About 8 years ago

Identifiers

NY	License #	236536
NY	Medicaid	03052540

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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NY FEMALE PELVIC RECONSTRUCTIVE SURGERY PLLC

Contact Information

Specialty

Gynecology

NPI Profile & details for NY FEMALE PELVIC RECONSTRUCTIVE SURGERY PLLC

Reviews for NY FEMALE PELVIC RECONSTRUCTIVE SURGERY PLLC