Provider Demographics
NPI:1164162483
Name:WOODMERE WOMENS HEALTH NP PLLC
Entity Type:Organization
Organization Name:WOODMERE WOMENS HEALTH NP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:MS
Authorized Official - First Name:ILANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEUTSCH
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:516-984-6810
Mailing Address - Street 1:985 NORTHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1619
Mailing Address - Country:US
Mailing Address - Phone:516-984-6810
Mailing Address - Fax:
Practice Address - Street 1:985 NORTHFIELD RD
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1619
Practice Address - Country:US
Practice Address - Phone:516-984-6810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty