| Mic Women's Health Services - Eastern Parkway | |
|
1873 Eastern Pkwy Brooklyn NY 11233-3214 | |
| (718) 498-1001 | |
| (718) 498-4726 |
| Full Name | Mic Women's Health Services - Eastern Parkway |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1873 Eastern Pkwy, Brooklyn, New York |
| Authorized Official Name and Position | Lisa David (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6466196401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mic Women's Health Services - Eastern Parkway 220 Church St 5th Floor New York NY 10013-2904 Ph: (646) 619-6400 | Mic Women's Health Services - Eastern Parkway 1873 Eastern Pkwy Brooklyn NY 11233-3214 Ph: (718) 498-1001 |
| NPI Number | 1578754222 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 09/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578754222 | NPI | - | NPPES |
| 00245538 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 7002296R (New York) | Primary |
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