Provider Type Icon

NY FEMALE PELVIC RECONSTRUCTIVE SURGERY PLLC NPI 1093292864


NPI Information

NPI: 1093292864
Provider Name: NY FEMALE PELVIC RECONSTRUCTIVE SURGERY PLLC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
7203 13TH AVE
BROOKLYN, NY
ZIP 11228
Phone: (718) 238-5454
Get Directions

NY FEMALE PELVIC RECONSTRUCTIVE SURGERY PLLC is a gynecology obstetrics gynecology in Brooklyn, NY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee NY FEMALE PELVIC RECONSTRUCTIVE SURGERY PLLC NPI is 1093292864. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7203 13TH AVE
BROOKLYN, NY
ZIP 11228
Phone: (718) 238-5454

The provider's authorized official is Cedric Olivera .
The authorized official title is Managing Member and has the following contact phone number (718) 238-5454.

The enumeration date for this NPI number is 7/25/2018 and was last updated on 8/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecology236536NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103052540MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.