Provider Demographics
NPI:1780701573
Name:WOMEN'S CHOICE OBGYN PC
Entity type:Organization
Organization Name:WOMEN'S CHOICE OBGYN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:G
Authorized Official - Last Name:SHTERN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-520-0700
Mailing Address - Street 1:10721 QUEENS BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4451
Mailing Address - Country:US
Mailing Address - Phone:718-520-0700
Mailing Address - Fax:718-520-7180
Practice Address - Street 1:10721 QUEENS BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4451
Practice Address - Country:US
Practice Address - Phone:718-520-0700
Practice Address - Fax:718-520-7180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212461207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH53321Medicare UPIN
NY06627GMedicare ID - Type Unspecified