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Womens Surgical Boutique Inc
Specialist in Malverne, New York
NPI 1962516823

Womens Surgical Boutique Inc is a Specialist based in Malverne, NY. Womens Surgical Boutique Inc practices in Malverne, NY. The NPI Number for Womens Surgical Boutique Inc is 1962516823 and holds a License No. (New York).

The current practice location address for Womens Surgical Boutique Inc is 112 B Broadway, Malverne, NY and can be reached out via phone at 516-292-1320 and via fax at 516-292-1323.

Location: 112 B Broadway, Malverne, NY, 11565-1652
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962516823
Provider Name
Womens Surgical Boutique Inc
Credential
Provider Entity Type
Organization
Address
112 B Broadway, Malverne, NY, 11565-1652
Phone Number
516-292-1320
Fax Number
516-292-1323
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1C4485 01 HEALTH NET
0261320001 05 NY
A382561 01 OXFORD
12DME0747NY 01 ANTHEM
603482 01 AETNA
AZ00250 01 MDNY
G71541 01 EMPIRE BCBS
institution
Provider Business Practice Location Address Details
Address
112 B Broadway
City
Malverne
State
New York
Zip
11565-1652
Phone Number
516-292-1320
Fax Number
516-292-1323
person
Provider Business Mailing Address Details
Address
112 B Broadway
City
Malverne
State
New York
Zip
11565-1652
Phone Number
516-292-1320
Fax Number
516-292-1323
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
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.
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