Provider Demographics
NPI:1073647921
Name:WOMENS MEDICAL HEALTH CHECK UP PC
Entity Type:Organization
Organization Name:WOMENS MEDICAL HEALTH CHECK UP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AYMAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHAHINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-745-7172
Mailing Address - Street 1:334 86TH STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209
Mailing Address - Country:US
Mailing Address - Phone:718-745-7172
Mailing Address - Fax:718-745-6082
Practice Address - Street 1:334 86TH STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209
Practice Address - Country:US
Practice Address - Phone:718-745-7172
Practice Address - Fax:718-745-6082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0149860Medicaid
NY0149860Medicaid
NY71J30Medicare ID - Type Unspecified