Provider Demographics
NPI:1497090237
Name:EVERY WOMAN WELLNESS MEDICAL & PAIN MANAGEMENT LLC
Entity Type:Organization
Organization Name:EVERY WOMAN WELLNESS MEDICAL & PAIN MANAGEMENT LLC
Other - Org Name:EVERY WOMAN WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JUANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUEVAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-302-4399
Mailing Address - Street 1:1375 BROADWAY
Mailing Address - Street 2:SUITE 506
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-7001
Mailing Address - Country:US
Mailing Address - Phone:212-302-4399
Mailing Address - Fax:212-302-2582
Practice Address - Street 1:1375 BROADWAY
Practice Address - Street 2:SUITE 506
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7001
Practice Address - Country:US
Practice Address - Phone:212-302-4399
Practice Address - Fax:212-302-2582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-05
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207L00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty