Provider Demographics
NPI:1508855362
Name:WOMENS HEALTH SPECIALISTS LLP
Entity Type:Organization
Organization Name:WOMENS HEALTH SPECIALISTS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-253-9749
Mailing Address - Street 1:615 N SEWARD AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-2107
Mailing Address - Country:US
Mailing Address - Phone:315-253-9749
Mailing Address - Fax:315-252-3911
Practice Address - Street 1:615 N SEWARD AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-2107
Practice Address - Country:US
Practice Address - Phone:315-253-9749
Practice Address - Fax:315-253-2614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1629501Medicaid
NY1629501Medicaid