Healthcare Provider Details

I. General information

NPI: 1891865614
Provider Name (Legal Business Name): ASSOCIATES FOR WOMEN'S CARE, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 HERING AVE
BRONX NY
10461-2006
US

IV. Provider business mailing address

700 POST RD SUITE 270
SCARSDALE NY
10583-5063
US

V. Phone/Fax

Practice location:
  • Phone: 718-409-1650
  • Fax:
Mailing address:
  • Phone: 914-423-4111
  • Fax: 914-423-3185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number198355
License Number StateNY

VIII. Authorized Official

Name: JOSHUA WALDMAN
Title or Position: DELEGATED OFFICIAL
Credential:
Phone: 718-409-1650