Provider Demographics
NPI:1386890093
Name:ALL ABOUT WOMEN GYNECOLOGY, P.C.
Entity type:Organization
Organization Name:ALL ABOUT WOMEN GYNECOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SCAVO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-747-0105
Mailing Address - Street 1:200 OLD COUNTRY RD
Mailing Address - Street 2:SUITE 650
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4235
Mailing Address - Country:US
Mailing Address - Phone:516-747-0105
Mailing Address - Fax:516-280-2612
Practice Address - Street 1:200 OLD COUNTRY RD
Practice Address - Street 2:SUITE 650
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4235
Practice Address - Country:US
Practice Address - Phone:516-747-0105
Practice Address - Fax:516-280-2612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty