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General NPI Number Information
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NPI Number | 1861671323
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTH OF NY, P.C.
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 8738 25TH AVE FL 1
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City | BROOKLYN
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State | NY
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Zip | 11214-5402
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Country | US
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Telephone | 718-266-5100
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Fax | 718-266-5264
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Provider Business Mailing Address
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Address Line | 8738 25TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11214-5402
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Country | US
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Telephone | 718-266-5100
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Fax | 718-266-5264
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHARAREH BAGHERIAN
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Credential | D.O.
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Telephone | 718-266-5100
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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 | 221068
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License Number State | NY
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