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NPI Code Detail

MEDICARE: CHOICES WOMEN'S MEDICAL CENTER, INC.

MEDICARE: CHOICES WOMEN'S MEDICAL CENTER, INC.
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
1261QA0005XAmbulatory Family Planning Facility7003223RNY
2261QA1903XAmbulatory Surgical Clinic/Center7003223RNY

Other Identifiers

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

General Provider Information

NPI Number : 1194832949
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHOICES WOMEN'S MEDICAL CENTER, INC.
Provider Business Mailing Address
First Line : 14732 JAMAICA AVE
Second Line :
City : JAMAICA
State : NY
Zip : 11435-4042
Country : US
Telephone Number : 718-786-5000
Fax Number :
Provider Business Practice Location Address
First Line : 14732 JAMAICA AVE
Second Line :
City : JAMAICA
State : NY
Zip : 11435-4042
Country : US
Telephone Number : 718-786-5000
Fax Number :
Authorized Official
Title or Position : PRESIDENT/FOUNDER
Name : MS. MERLE HOFFMAN
Credential :
Telephone Number : 718-786-5000
Provider Enumeration Date : 08/25/2006
Last Update Date : 06/03/2014

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