Healthcare Provider Details

I. General information

NPI: 1336737394
Provider Name (Legal Business Name): AMENA WOMEN'S HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 01/05/2021
Certification Date: 01/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 W OLD COUNTRY RD STE 102
HICKSVILLE NY
11801-4036
US

IV. Provider business mailing address

7834 270TH ST
NEW HYDE PARK NY
11040-1528
US

V. Phone/Fax

Practice location:
  • Phone: 516-822-4600
  • Fax:
Mailing address:
  • Phone: 516-469-1171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MAHMUDA MAJAHAR
Title or Position: PRESIDENT
Credential:
Phone: 516-469-1171