Provider Demographics
NPI:1396774295
Name:CNY WOMEN'S HEALTHCARE, P.C.
Entity type:Organization
Organization Name:CNY WOMEN'S HEALTHCARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-446-4400
Mailing Address - Street 1:4939 BRITTONFIELD PKWY
Mailing Address - Street 2:BLDG B, SUITE 211
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-9208
Mailing Address - Country:US
Mailing Address - Phone:315-446-4400
Mailing Address - Fax:315-446-4201
Practice Address - Street 1:4939 BRITTONFIELD PKWY
Practice Address - Street 2:BLDG B, SUITE 211
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-9208
Practice Address - Country:US
Practice Address - Phone:315-446-4400
Practice Address - Fax:315-446-4201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0309Medicare PIN