Womens Surgical Boutique INC

NPI #1962516823 in Malverne, New York

Provider Information

NPI Number: 1962516823
Entity Type: Organization
Organization Name: Womens Surgical Boutique INC
Primary Specialty: Specialist
Enumeration Date: Aug 18, 2006
Last Updated: Jan 26, 2016

Practice Location

Address: 112 B BROADWAY
City: Malverne
State: New York
ZIP Code: 11565-1652
Phone: (516) 292-1320

Authorized Official

Name: MS. DIANE E LIPMAN, CMF
Title: PRESIDENT
Phone: (516) 292-1320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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