Provider Demographics
NPI:1275587230
Name:WOMENS HEALTH CARE ASSOCIATES PC
Entity Type:Organization
Organization Name:WOMENS HEALTH CARE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SONI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-220-9393
Mailing Address - Street 1:1202 TROY SCHENECTADY RD
Mailing Address - Street 2:BUILDING 2
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-1095
Mailing Address - Country:US
Mailing Address - Phone:518-220-9393
Mailing Address - Fax:518-220-9123
Practice Address - Street 1:1202 TROY SCHENECTADY RD
Practice Address - Street 2:BUILDING 2
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-1095
Practice Address - Country:US
Practice Address - Phone:518-220-9393
Practice Address - Fax:518-220-9123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY119401207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY33583AMedicare ID - Type Unspecified