Provider Demographics
NPI:1295933422
Name:METROPOLITAN WOMEN SERVICES - OB/GYN
Entity type:Organization
Organization Name:METROPOLITAN WOMEN SERVICES - OB/GYN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-398-8100
Mailing Address - Street 1:55 GREENE AVE
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-1026
Mailing Address - Country:US
Mailing Address - Phone:718-398-8100
Mailing Address - Fax:718-398-8200
Practice Address - Street 1:55 GREENE AVE
Practice Address - Street 2:SUITE 2B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-1026
Practice Address - Country:US
Practice Address - Phone:718-398-8100
Practice Address - Fax:718-398-8200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217328207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty