Organization
WOMENS MEDICAL SERVICES OF NEW YORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN SANDOVAL (SOLE PROPRIETER)
(718) 485-2420
Entity
Organization
Contact information
Practice address
9413 FLATLANDS AVE, SUITE 206, BROOKLYN, NY 11236-3726
(718) 485-2420
Mailing address
2 BARNES LN, GARDEN CITY, NY 11530-4402
(718) 485-2420
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
60 66418
NY
Other
Enumeration date
09/10/2008
Last updated
02/12/2013
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