Provider Demographics
NPI:1366631905
Name:LAURA E. MIESZERSKI, M.D., FACOG
Entity Type:Organization
Organization Name:LAURA E. MIESZERSKI, M.D., FACOG
Other - Org Name:WOMEN'S CARE OF WESTCHESTER
Other - Org Type:Other Name
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MIESZERSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-736-6180
Mailing Address - Street 1:2241 CROMPOND RD
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-5216
Mailing Address - Country:US
Mailing Address - Phone:914-736-6180
Mailing Address - Fax:
Practice Address - Street 1:2241 CROMPOND RD
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-5216
Practice Address - Country:US
Practice Address - Phone:914-736-6180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY209259207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEN861Medicare PIN