Provider Demographics
NPI:1710156617
Name:LAFEMME MEDICAL, PC
Entity Type:Organization
Organization Name:LAFEMME MEDICAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GODWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYEIKE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:718-978-8667
Mailing Address - Street 1:24111 147TH AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422-2455
Mailing Address - Country:US
Mailing Address - Phone:718-978-8667
Mailing Address - Fax:718-276-3685
Practice Address - Street 1:24111 147TH AVE
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11422-2455
Practice Address - Country:US
Practice Address - Phone:718-978-8667
Practice Address - Fax:718-276-3685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205649207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05067Medicare PIN