Women'S Wellness Place, Pc

LBN: Women'S Wellness Place, Pc
Women'S Wellness Place, Pc is an health care organization with primary practice located at 739 Irving Ave Suite 300, Syracuse NY 13210-1640. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Women'S Wellness Place, Pc can be contacted via phone (315) 478-1158, or through Dalpe-Fung, Chantell via phone (315) 478-1158.

Contact Information

Primary practice address
739 Irving Ave Suite 300 Syracuse NY 13210-1640
Fax: (315) 478-3014
Website:
Authorized official contact:
Name: Dalpe-Fung, Chantell Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1376617480
LBN Legal business name Women'S Wellness Place, Pc
DBA Doing business as
Authorized official Dalpe-Fung, Chantell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Feb 18th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376617480 NPPES
New York MEDICAID 02375359

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