MEDICARE: PLANNED PARENTHOOD OF NYC

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	261QA0005X	Ambulatory Family Planning Facility	007488-1	NY

General Provider Information

NPI Number	:	1558573741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANNED PARENTHOOD OF NYC

Provider Business Mailing Address
First Line	:	2383 2ND AVE
Second Line	:	APT. 2701
City	:	NEW YORK
State	:	NY
Zip	:	10035-2349
Country	:	US
Telephone Number	:	917-399-8891
Fax Number	:

Provider Business Practice Location Address
First Line	:	349 E 149TH ST
Second Line	:	2ND FLOOR
City	:	BRONX
State	:	NY
Zip	:	10451-5603
Country	:	US
Telephone Number	:	212-965-4826
Fax Number	:	718-585-8275

Authorized Official
Title or Position	:	PHYSICIAN ASSISTANT
Name	:	MRS. MARQUITA RODRIGUEZ
Credential	:	PA
Telephone Number	:	212-965-4826

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	08/22/2020

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Directions to “PLANNED PARENTHOOD OF NYC ” Practice Location

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