Provider Demographics
NPI:1114081601
Name:WOMEN FIRST HEALTHCARE OF WESTERN NEW YORK PC
Entity Type:Organization
Organization Name:WOMEN FIRST HEALTHCARE OF WESTERN NEW YORK PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GIL
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:FARKASH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-677-0454
Mailing Address - Street 1:240 REDTAIL DR
Mailing Address - Street 2:STE 5&6
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-0000
Mailing Address - Country:US
Mailing Address - Phone:716-677-0454
Mailing Address - Fax:
Practice Address - Street 1:240 REDTAIL DR
Practice Address - Street 2:STE 5&6
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-0000
Practice Address - Country:US
Practice Address - Phone:716-677-0454
Practice Address - Fax:716-712-0061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY197614207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0709050OtherINDEPENDENT HEALTH
NY0298342OtherGHI
NY01744247Medicaid
NYUNIVERAOther00010301707
NY0005247179OtherBC BS OF WNY
NY10172730OtherFIDELIS
NY1871599381OtherINDIVIDUAL NPI
NYAA1129Medicare PIN
NY1871599381OtherINDIVIDUAL NPI