Healthcare Provider Details

I. General information

NPI: 1154369189
Provider Name (Legal Business Name): ASSOCIATES FOR WOMEN'S CARE LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 WHITE PLAINS RD SUITE 270
SCARSDALE NY
10583-5063
US

IV. Provider business mailing address

700 WHITE PLAINS RD SUITE 270
SCARSDALE NY
10583-5063
US

V. Phone/Fax

Practice location:
  • Phone: 914-423-4111
  • Fax:
Mailing address:
  • Phone: 914-423-4111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number198355-1
License Number StateNY

VIII. Authorized Official

Name: JOSHUA L WALDMAN
Title or Position: PARTNER
Credential: MD
Phone: 914-423-4111