GREAT NECK WOMEN'S MEDICAL CARE NPI 1992709778

NPI Information

  • NPI: 1992709778
  • Provider Name: GREAT NECK WOMEN'S MEDICAL CARE
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1999 MARCUS AVE
    STE 108
    NEW HYDE PARK, NY
    ZIP 11042
  • Phone: (516) 466-3663

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NPI Details

GREAT NECK WOMEN'S MEDICAL CARE is a specialist in New Hyde Park, 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. GREAT NECK WOMEN'S MEDICAL CARE NPI is 1992709778. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1999 MARCUS AVE
STE 108
NEW HYDE PARK, NY
ZIP 11042-017
Phone: (516) 466-3663
Fax: (516) 773-3201

The provider's authorized official is Robert Alan Jason .
The authorized official title is Medical Director and has the following contact phone number (516) 466-3663.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 10/24/2007.

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
1174400000XSpecialistYes

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
1W17061MEDICARE PINNEW 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: 3/30/2025

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