Provider Demographics
NPI:1780124255
Name:WOMEN WELLBEING OBGYN PC
Entity type:Organization
Organization Name:WOMEN WELLBEING OBGYN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIRMALA
Authorized Official - Middle Name:
Authorized Official - Last Name:SENTHILKUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:516-441-5020
Mailing Address - Street 1:277 NORTHERN BLVD STE 309
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4703
Mailing Address - Country:US
Mailing Address - Phone:516-441-5020
Mailing Address - Fax:516-441-5019
Practice Address - Street 1:277 NORTHERN BLVD STE 309
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-4703
Practice Address - Country:US
Practice Address - Phone:516-441-5020
Practice Address - Fax:516-441-5019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258342207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty