Provider Demographics
NPI:1467852780
Name:A WOMAN TO A WOMAN PLASTIC SURGERY
Entity Type:Organization
Organization Name:A WOMAN TO A WOMAN PLASTIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LIOUDMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIMOVICI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-492-5523
Mailing Address - Street 1:99 CLENT RD
Mailing Address - Street 2:B104
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4900
Mailing Address - Country:US
Mailing Address - Phone:516-492-5523
Mailing Address - Fax:
Practice Address - Street 1:2401 UNIVERSITY PKWY
Practice Address - Street 2:206
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2893
Practice Address - Country:US
Practice Address - Phone:516-492-5523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS128502086S0105X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Multi-Specialty