Provider Demographics
NPI:1720388440
Name:WOMEN'S HEALTH MIDWIFERY CARE PLLC
Entity Type:Organization
Organization Name:WOMEN'S HEALTH MIDWIFERY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNM
Authorized Official - Prefix:
Authorized Official - First Name:MIRONA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-639-9878
Mailing Address - Street 1:105 SHAD ROW
Mailing Address - Street 2:
Mailing Address - City:PIERMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10968
Mailing Address - Country:US
Mailing Address - Phone:845-680-6600
Mailing Address - Fax:845-680-2450
Practice Address - Street 1:105 SHAD ROW
Practice Address - Street 2:
Practice Address - City:PIERMONT
Practice Address - State:NY
Practice Address - Zip Code:10968
Practice Address - Country:US
Practice Address - Phone:845-680-6600
Practice Address - Fax:845-680-2450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility