WOMEN'S WELLNESS PLACE PC NPI 1376617480

NPI Information

  • NPI: 1376617480
  • Provider Name: WOMEN'S WELLNESS PLACE, PC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • CLIA Number: 33D0906328
  • Address: 739 IRVING AVE
    SUITE 300
    SYRACUSE, NY
    ZIP 13210
  • Phone: (315) 478-1158

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NPI Details

WOMEN'S WELLNESS PLACE, PC is an obstetrics gynecology in Syracuse, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. WOMEN'S WELLNESS PLACE, PC NPI is 1376617480. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

739 IRVING AVE
SUITE 300
SYRACUSE, NY
ZIP 13210-640
Phone: (315) 478-1158
Fax: (315) 478-3014

The provider's authorized official is Chantell Dalpe-fung .
The authorized official title is Physician and has the following contact phone number (315) 478-1158.

The CLIA number assigned to this NPI record is 33D0906328 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 2/18/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AA0510MEDICARE PINNEW YORK
202375359MEDICAIDNEW 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: 11/21/2025

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