Provider Demographics
NPI:1972937233
Name:WOMENS SPECIAL CARE P.C.
Entity type:Organization
Organization Name:WOMENS SPECIAL CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHNIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-907-2983
Mailing Address - Street 1:2860 OCEAN AVE
Mailing Address - Street 2:SUITE A1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3166
Mailing Address - Country:US
Mailing Address - Phone:917-907-2983
Mailing Address - Fax:718-872-7509
Practice Address - Street 1:596 ANDERSON AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:CLIFFSIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07010-1831
Practice Address - Country:US
Practice Address - Phone:917-907-2983
Practice Address - Fax:718-872-7509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08321500207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty