Provider Demographics
NPI:1942475793
Name:MEDICAL CARE FOR WOMEN, PC
Entity Type:Organization
Organization Name:MEDICAL CARE FOR WOMEN, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:DESPINA
Authorized Official - Last Name:OLANESCU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-278-0888
Mailing Address - Street 1:2322 30TH RD
Mailing Address - Street 2:SUITE #1H
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-3200
Mailing Address - Country:US
Mailing Address - Phone:718-278-0888
Mailing Address - Fax:718-278-0122
Practice Address - Street 1:2322 30TH RD
Practice Address - Street 2:SUITE #1H
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-3200
Practice Address - Country:US
Practice Address - Phone:718-278-0888
Practice Address - Fax:718-278-0122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214058174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02299585Medicaid
NYG100048862Medicare PIN