Healthcare Provider Details

I. General information

NPI: 1154596310
Provider Name (Legal Business Name): SLOANE WOMEN HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2008
Last Update Date: 04/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 FORT WASHINGTON AVE
NEW YORK NY
10032-3729
US

IV. Provider business mailing address

622 W 168TH ST
NEW YORK NY
10032-3720
US

V. Phone/Fax

Practice location:
  • Phone: 212-305-4098
  • Fax: 212-305-2229
Mailing address:
  • Phone: 212-305-4098
  • Fax: 212-305-2229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARY E D'ALTON
Title or Position: DEPARTMENT CHAIR
Credential: MD
Phone: 212-305-2377