Provider Demographics
NPI:1497467765
Name:MEDICAL CARE FOR WOMENS HEALTH PC
Entity Type:Organization
Organization Name:MEDICAL CARE FOR WOMENS HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:ALTMAN-NEUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-723-9009
Mailing Address - Street 1:1175 W BROADWAY STE 33
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1922
Mailing Address - Country:US
Mailing Address - Phone:718-253-8114
Mailing Address - Fax:718-253-2333
Practice Address - Street 1:17 SYLVAN ST STE 201
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2069
Practice Address - Country:US
Practice Address - Phone:201-438-0539
Practice Address - Fax:201-438-2108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty