Provider Demographics
NPI:1851527972
Name:WASHINGTON PARK WOMEN'S HEALTH PC
Entity Type:Organization
Organization Name:WASHINGTON PARK WOMEN'S HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:HOPE
Authorized Official - Last Name:TUFANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-331-1120
Mailing Address - Street 1:1500 ROUTE 112
Mailing Address - Street 2:BLDG 11 SUITE A
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-3060
Mailing Address - Country:US
Mailing Address - Phone:631-331-1120
Mailing Address - Fax:631-331-1048
Practice Address - Street 1:1500 ROUTE 112
Practice Address - Street 2:BLDG 11 SUITE A
Practice Address - City:PORT JEFFERSON STATION
Practice Address - State:NY
Practice Address - Zip Code:11776-3060
Practice Address - Country:US
Practice Address - Phone:631-331-1120
Practice Address - Fax:631-331-1048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY228608207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYO04933Medicare UPIN
NY707E51Medicare PIN