Provider Demographics
NPI:1285873166
Name:ALL WOMEN'S MEDICAL OFFICE BASED SURGERY PLLC
Entity type:Organization
Organization Name:ALL WOMEN'S MEDICAL OFFICE BASED SURGERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DMITRY
Authorized Official - Middle Name:
Authorized Official - Last Name:GERBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-946-0050
Mailing Address - Street 1:222 MAMARONECK AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1303
Mailing Address - Country:US
Mailing Address - Phone:914-946-0050
Mailing Address - Fax:914-946-0811
Practice Address - Street 1:222 MAMARONECK AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1303
Practice Address - Country:US
Practice Address - Phone:914-946-0050
Practice Address - Fax:914-946-0811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty