# WOMEN'S HEALTH CENTER EXT CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STOCKHOLM OB/GYN SERVICES, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528481348
- **Legal business name:** STOCKHOLM OB/GYN SERVICES, PC
- **Authorized official:** FRANK VUTRANO (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (718) 963-6702

## Contact information

- **Practice address:** 110 WYCKOFF AVE, WOMEN'S HEALTH CENTER EXT CLINIC, BROOKLYN, NY 11237-3904
- **Practice address phone:** (718) 963-6485
- **Mailing address:** 374 STOCKHOLM ST, WYCKOFF HEIGHTS MEDICAL CENTER - FACULTY PRACTICE, BROOKLYN, NY 11237-4006
- **Mailing address phone:** (718) 486-4155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | NULL | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/30/2014
- **Last updated:** 12/09/2015