Organization
COMPREHENSIVE WOMEN'S HEALTH OF N.Y. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETR ITZHAK D.O. (PRESEDENT)
(717) 366-2242
Entity
Organization
Contact information
Practice address
6805 MYRTLE AVE, GLENDALE, NY 11385-7267
(718) 366-2242
Mailing address
8344 LEFFERTS BLVD APT 4R, KEW GARDENS, NY 11415-2583
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
234430
NY
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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