Provider Demographics
NPI:1710128038
Name:PERSONAL WOMAN'S CARE MEDICAL SERVICES P C
Entity Type:Organization
Organization Name:PERSONAL WOMAN'S CARE MEDICAL SERVICES P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:HALPERT
Authorized Official - Suffix:I
Authorized Official - Credentials:MD
Authorized Official - Phone:631-862-4000
Mailing Address - Street 1:148 TERRY RD
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-5102
Mailing Address - Country:US
Mailing Address - Phone:631-862-4000
Mailing Address - Fax:631-862-4016
Practice Address - Street 1:148 TERRY RD
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-5102
Practice Address - Country:US
Practice Address - Phone:631-862-4000
Practice Address - Fax:631-862-4016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY167013174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty