Provider Demographics
NPI:1851153977
Name:COMPREHENSIVE WOMEN'S MEDICINE PLLC
Entity Type:Organization
Organization Name:COMPREHENSIVE WOMEN'S MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMIR REZA
Authorized Official - Middle Name:
Authorized Official - Last Name:RADJABI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-444-5444
Mailing Address - Street 1:240 CENTRAL PARK S APT 1P
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1429
Mailing Address - Country:US
Mailing Address - Phone:212-535-5350
Mailing Address - Fax:212-535-5080
Practice Address - Street 1:240 CENTRAL PARK S APT 1P
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1429
Practice Address - Country:US
Practice Address - Phone:212-535-5350
Practice Address - Fax:212-535-5080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty