Organization · NPI-2

Roosevelt Women'S Medical Care, PC

Obstetrics & Gynecology, Gynecology · Jackson Heights, NY

NPI number1801038146
StatusActive
Last updated in NPPESApr 1, 2009

Details

NPI
1801038146
Entity type
Organization (NPI-2)
Legal business name
Roosevelt Women'S Medical Care, PC
Organization subpart
No
Enumeration date
Apr 1, 2009
Last updated
Apr 1, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VG0400X Obstetrics & Gynecology, Gynecology093257NYYes

Practice location

7813 Roosevelt Ave
2nd Floor
Jackson Heights, NY 11372-6639

Phone 718-205-0234 · Fax 718-205-0877

Mailing address

7813 Roosevelt Ave
2nd Floor
Jackson Heights, NY 11372-6639

Phone 718-205-0234 · Fax 718-205-0877

Authorized official

Arnold Lipton
Medical Director
7182050234

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