Healthcare Provider Details

I. General information

NPI: 1073505194
Provider Name (Legal Business Name): WOMAN'S HEALTHCARE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 TROY SCHENECTADY RD
NISKAYUNA NY
12309-4725
US

IV. Provider business mailing address

PO BOX 11226 WOMAN'S HC GROUP
ALBANY NY
12211-0226
US

V. Phone/Fax

Practice location:
  • Phone: 518-346-6400
  • Fax:
Mailing address:
  • Phone: 518-346-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. CLARISSA WESTNEY
Title or Position: OWNER
Credential: MD
Phone: 518-346-6400