WOMENS SURGICAL BOUTIQUE INC NPI 1962516823

NPI Information

NPI: 1962516823
Provider Name: WOMENS SURGICAL BOUTIQUE INC

Doing Business As: WOMENS BOUTIQUE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
112 B BROADWAY
MALVERNE, NY
ZIP 11565
Phone: (516) 292-1320
Get Directions

WOMENS SURGICAL BOUTIQUE INC is a specialist in Malverne, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WOMENS SURGICAL BOUTIQUE INC NPI is 1962516823. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Womens Boutique.

The provider's business location address is:

112 B BROADWAY
MALVERNE, NY
ZIP 11565-652
Phone: (516) 292-1320
Fax: (516) 292-1323

The provider's authorized official is Diane E Lipman .
The authorized official title is President and has the following contact phone number (516) 292-1320.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 1/26/2016.

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
1	174400000X	Specialist				Yes

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
1	12DME0747NY	OTHER		ANTHEM
2	AZ00250	OTHER		MDNY
3	0261320001	MEDICAID	NEW YORK
4	603482	OTHER		AETNA
5	A382561	OTHER		OXFORD
6	1C4485	OTHER		HEALTH NET
7	G71541	OTHER		EMPIRE BCBS

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: 5/5/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »