Provider Demographics
NPI:1285655373
Name:THE WOMAN'S PERSONAL HEALTH RESOURCE, INC.
Entity Type:Organization
Organization Name:THE WOMAN'S PERSONAL HEALTH RESOURCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:845-369-0560
Mailing Address - Street 1:1 PENN PLZ
Mailing Address - Street 2:SUITE 6231
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10119-0002
Mailing Address - Country:US
Mailing Address - Phone:845-369-0560
Mailing Address - Fax:845-369-0542
Practice Address - Street 1:1 PENN PLZ
Practice Address - Street 2:SUITE 6231
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10119-0002
Practice Address - Country:US
Practice Address - Phone:845-369-0560
Practice Address - Fax:845-369-0542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DO NOT HAVE332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1264630001Medicare ID - Type UnspecifiedMEDICARE
NY1285655373Medicare UPIN