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General NPI Number Information
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NPI Number | 1780701573
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Entity Type | Organization
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Legal Business Name | WOMEN'S CHOICE OBGYN PC
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Dates
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Enumeration Date | 03/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10721 QUEENS BLVD SUITE 1
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City | FOREST HILLS
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State | NY
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Zip | 11375-4451
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Country | US
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Telephone | 718-520-0700
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Fax | 718-520-7180
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Provider Business Mailing Address
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Address Line | 10721 QUEENS BLVD SUITE 1
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City | FOREST HILLS
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State | NY
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Zip | 11375-4451
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Country | US
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Telephone | 718-520-0700
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Fax | 718-520-7180
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARINA G SHTERN
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Credential | M.D.
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Telephone | 718-520-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 212461
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License Number State | NY
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