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Organization
WOMEN'S HEALTH CENTER EXT CLINIC
Active
Organization
WOMEN'S HEALTH CENTER EXT CLINIC
Active
Parent organization
STOCKHOLM OB/GYN SERVICES, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STOCKHOLM OB/GYN SERVICES, PC
Authorized official
FRANK VUTRANO (CHIEF FINANCIAL OFFICER)
(718) 963-6702
Entity
Organization
Contact information
Practice address
110 WYCKOFF AVE, WOMEN'S HEALTH CENTER EXT CLINIC, BROOKLYN, NY 11237-3904
(718) 963-6485
Mailing address
374 STOCKHOLM ST, WYCKOFF HEIGHTS MEDICAL CENTER - FACULTY PRACTICE, BROOKLYN, NY 11237-4006
(718) 486-4155
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
NULL
176B00000X
Midwife
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
NULL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
01/30/2014
Last updated
12/09/2015
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