Provider Demographics
NPI:1336375351
Name:HEALTH CARE FOR WOMEN, PLLC
Entity Type:Organization
Organization Name:HEALTH CARE FOR WOMEN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAGHID
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-593-7721
Mailing Address - Street 1:1330 SCHENCK LN
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-2216
Mailing Address - Country:US
Mailing Address - Phone:516-593-7721
Mailing Address - Fax:516-593-7728
Practice Address - Street 1:300 STUART AVE
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-1047
Practice Address - Country:US
Practice Address - Phone:516-887-8422
Practice Address - Fax:516-285-1711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY227623-1207V00000X
NY251223207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0237631Medicaid
NY705E2OtherBLUE CROSS BLUE SHIELD
H95838Medicare UPIN