Healthcare Provider Details
I. General information
NPI: 1134583099
Provider Name (Legal Business Name): FEM GYN URGENT CARE WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/07/2016
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
296 7TH AVE
BROOKLYN NY
11215-7249
US
IV. Provider business mailing address
296 7TH AVE
BROOKLYN NY
11215-7249
US
V. Phone/Fax
- Phone: 347-987-4414
- Fax:
- Phone: 347-987-4414
- Fax: 347-889-7346
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GEORGE
GUIRGUIS
Title or Position: VICE PRESIDENT, MEDICAL DIRECTOR
Credential: DO, FACOG
Phone: 929-754-1667