MEDICARE: NYCGYNO PA

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

General Provider Information

NPI Number	:	1952997892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NYCGYNO PA

Provider Business Mailing Address
First Line	:	9349 COLLINS AVE APT 1004
Second Line	:
City	:	SURFSIDE
State	:	FL
Zip	:	33154-2885
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 W 41ST ST STE 300
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3444
Country	:	US
Telephone Number	:	510-384-4840
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	AMIR MARASHI
Credential	:	MD
Telephone Number	:	510-384-4840

Provider Enumeration Date	:	12/15/2020
Last Update Date	:	12/15/2020

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Directions to “NYCGYNO PA ” Practice Location

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