Healthcare Provider Details

I. General information

NPI: 1194832949
Provider Name (Legal Business Name): CHOICES WOMEN'S MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 06/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14732 JAMAICA AVE
JAMAICA NY
11435-4042
US

IV. Provider business mailing address

14732 JAMAICA AVE
JAMAICA NY
11435-4042
US

V. Phone/Fax

Practice location:
  • Phone: 718-786-5000
  • Fax:
Mailing address:
  • Phone: 718-786-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number7003223R
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number7003223R
License Number StateNY

VIII. Authorized Official

Name: MS. MERLE HOFFMAN
Title or Position: PRESIDENT/FOUNDER
Credential:
Phone: 718-786-5000