Provider Demographics
NPI:1962677195
Name:CENTER FOR WOMEN'S REPRODUCTIVE CARE
Entity Type:Organization
Organization Name:CENTER FOR WOMEN'S REPRODUCTIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPARTMNET CHAIR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:D'ALTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-305-2377
Mailing Address - Street 1:622 W 168TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3720
Mailing Address - Country:US
Mailing Address - Phone:212-305-4098
Mailing Address - Fax:212-305-2229
Practice Address - Street 1:1790 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1412
Practice Address - Country:US
Practice Address - Phone:646-756-8282
Practice Address - Fax:212-305-2229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty