Provider Demographics
NPI:1104015536
Name:DOWNTOWN WOMEN OB GYN ASSOCIATES LLP
Entity Type:Organization
Organization Name:DOWNTOWN WOMEN OB GYN ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-966-7600
Mailing Address - Street 1:568 BROADWAY
Mailing Address - Street 2:SUITE 304
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-3225
Mailing Address - Country:US
Mailing Address - Phone:212-966-7600
Mailing Address - Fax:212-966-8820
Practice Address - Street 1:568 BROADWAY
Practice Address - Street 2:SUITE 304
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-3225
Practice Address - Country:US
Practice Address - Phone:212-966-7600
Practice Address - Fax:212-966-8820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1319771207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG79463Medicare UPIN
NY750E51Medicare PIN
NY748E41Medicare PIN
NYF78995Medicare UPIN
NY43F441Medicare PIN
NYB14376Medicare UPIN
NYA60225Medicare UPIN
NY124242Medicare UPIN
NY51G301Medicare PIN
NY119418Medicare UPIN
NY124090Medicare UPIN
NY42A891Medicare PIN
NY07J411Medicare PIN