Provider Demographics
NPI:1124111794
Name:WOMEN'S HEALTH & WELLNESS MEDICAL ASSOCIATES PLLC
Entity type:Organization
Organization Name:WOMEN'S HEALTH & WELLNESS MEDICAL ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TSUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-334-9898
Mailing Address - Street 1:244 GRAND ST FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4937
Mailing Address - Country:US
Mailing Address - Phone:212-334-9898
Mailing Address - Fax:212-334-0438
Practice Address - Street 1:244 GRAND ST FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4937
Practice Address - Country:US
Practice Address - Phone:212-334-9898
Practice Address - Fax:212-334-0438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW39001Medicare ID - Type Unspecified