MEDICARE: CONTEMPORARY OBGYN CARE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	207374	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023387396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTEMPORARY OBGYN CARE PC

Provider Business Mailing Address
First Line	:	PO BOX 1021
Second Line	:
City	:	BETHPAGE
State	:	NY
Zip	:	11714-0020
Country	:	US
Telephone Number	:	516-513-0763
Fax Number	:

Provider Business Practice Location Address
First Line	:	9221 AVENUE L
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-4820
Country	:	US
Telephone Number	:	718-272-5259
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAGAT NARAYAN SHARMA
Credential	:	MD
Telephone Number	:	917-443-8010

Provider Enumeration Date	:	12/15/2011
Last Update Date	:	12/15/2011

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