Provider Demographics
NPI:1861671323
Name:WOMEN'S HEALTH OF NY, P.C.
Entity Type:Organization
Organization Name:WOMEN'S HEALTH OF NY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARAREH
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGHERIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:718-266-5100
Mailing Address - Street 1:8738 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-5402
Mailing Address - Country:US
Mailing Address - Phone:718-266-5100
Mailing Address - Fax:718-266-5264
Practice Address - Street 1:8738 25TH AVE FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-5402
Practice Address - Country:US
Practice Address - Phone:718-266-5100
Practice Address - Fax:718-266-5264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221068207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02158712Medicaid
NYH40811Medicare UPIN
NY468E61Medicare PIN