Provider Demographics
NPI:1407181415
Name:CARNEGIE SOUTH IMAGING FOR WOMEN PLLC
Entity Type:Organization
Organization Name:CARNEGIE SOUTH IMAGING FOR WOMEN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELCIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENRIQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-525-3659
Mailing Address - Street 1:148 MADISON AVE
Mailing Address - Street 2:10TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6700
Mailing Address - Country:US
Mailing Address - Phone:212-427-1576
Mailing Address - Fax:212-348-3613
Practice Address - Street 1:148 MADISON AVE
Practice Address - Street 2:10TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6700
Practice Address - Country:US
Practice Address - Phone:212-427-1576
Practice Address - Fax:212-348-3613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-08
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty