Healthcare Provider Details

I. General information

NPI: 1336375351
Provider Name (Legal Business Name): HEALTH CARE FOR WOMEN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2009
Last Update Date: 06/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 STUART AVE
VALLEY STREAM NY
11580-1047
US

IV. Provider business mailing address

1330 SCHENCK LN
HEWLETT NY
11557-2216
US

V. Phone/Fax

Practice location:
  • Phone: 516-887-8422
  • Fax: 516-285-1711
Mailing address:
  • Phone: 516-593-7721
  • Fax: 516-593-7728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number227623-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number251223
License Number StateNY

VIII. Authorized Official

Name: DR. SAMINA RAGHID
Title or Position: PRESIDENT AND CEO
Credential: D.O
Phone: 516-593-7721