Healthcare Provider Details

I. General information

NPI: 1871514042
Provider Name (Legal Business Name): NYHMCQ - GYNECOLOGIC ONCOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16303 HORACE HARDING EXPY 3RD FLOOR
FRESH MEADOWS NY
11365-1449
US

IV. Provider business mailing address

PO BOX 27842
NEW YORK NY
10087-7842
US

V. Phone/Fax

Practice location:
  • Phone: 718-670-1170
  • Fax: 516-437-4167
Mailing address:
  • Phone: 718-670-1651
  • Fax: 516-437-4167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: MILLIE SCHIFF
Title or Position: DIRECTOR OF BILLING
Credential:
Phone: 718-670-1651