Provider Demographics
NPI:1376670661
Name:WOMEN FOR WOMEN OBSTETRICS & GYNECOLOGY,LLC
Entity Type:Organization
Organization Name:WOMEN FOR WOMEN OBSTETRICS & GYNECOLOGY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SEVA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAMBASIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-437-4300
Mailing Address - Street 1:1 HOLLOW LN STE 315
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1215
Mailing Address - Country:US
Mailing Address - Phone:516-437-4300
Mailing Address - Fax:516-437-2033
Practice Address - Street 1:1 HOLLOW LN STE 315
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1215
Practice Address - Country:US
Practice Address - Phone:516-437-4300
Practice Address - Fax:516-437-2033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY175128174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYDB4426OtherMEDICARE RAILROAD
NYW88011Medicare PIN
NYW88011Medicare ID - Type UnspecifiedMEDICARE GROUP #