MADONNA'S WELL WOMAN INC


Address: 25412 Memphis Ave, Rosedale, NY 11422-2545
Phone: 7189770777

MADONNA'S WELL WOMAN INC (NPI# 1457553760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457553760
Entity Type Organization
Organization Name MADONNA'S WELL WOMAN INC
Practice Address 25412 Memphis Ave
Rosedale
NY 11422-2545
Practice Telephone 7189770777
Practice Fax Number 7189770778
Mailing Telephone 7189770777
Mailing Fax Number 7189770778
Enumeration Date 2007-05-31
Last Update Date 2020-08-22
Authorized Official Name MISS MADONNA MARY HOLDER (PRESIDENT)
Authorized Official Telephone 7189770777
Authorized Official Credential C.N.M
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0050X Clinic/Center
Specialization: Family Planning, Non-Surgical
FOOOO88 NY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 01859723 05

Office Location

Street Address 25412 MEMPHIS AVE
City ROSEDALE
State NY
Zip Code 11422-2545

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1194277491 Kettely Francois Nurse Practitioner 149-86 253 Rd Street, Rosedale, NY 11422 2016-11-03
1578019410 Maureen Mckenzie Registered Nurse 241-25 148th Drive, Rosedale, NY 11422 2016-08-31
1386097657 A Touch That Cares Home Services Home Health 13891 Francis Lewis Blvd, Rosedale, NY 11422 2016-07-21
1093160293 Regine St. Leger Registered Nurse 128-07 236th Street, Rosedale, NY 11422 2016-04-26
1942664115 Raising In The Sun, Ltd Early Intervention Provider Agency 257-04 149th Avenue, Rosedale, NY 11422 2016-04-13
1740656958 Jaelle Jeudy Licensed Practical Nurse 243-59 Mayda Rd, Rosedale, NY 11422 2015-08-12
1851785380 Elizabeth Madison Nutrition, Pllc Clinic/Center 13333 Brookville Boulevard, Suite 229c, Rosedale, NY 11422 2015-03-23
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Taxonomy Information

Taxonomy Code 261QF0050X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Family Planning, Non-Surgical

Taxonomy Definition

An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives.
Notes: [7/1/2003: new]

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1033114004 Family Planning of South Central New York, Inc. Clinic/Center 37 Dietz St, Oneonta, NY 13820-1882 2005-06-16
1508483363 Therapeutic Sanctuary, Inc. Clinic/Center 737 Main St Ste 300, Buffalo, NY 14203-1335 2020-06-28
1306217971 67th Street Ob Gyn Pllc Clinic/Center 903 Lexington Ave, Suite 1a, New York, NY 10065-5987 2015-10-08
1457689119 Finger Lakes Migrant Health Care Project, Inc Clinic/Center 117 E Steuben St, Bath, NY 14810-1636 2009-11-18
1720316482 Finger Lakes Migrant Health Care Project, Inc Clinic/Center 160 Main Street, Penn Yan, NY 14527-1204 2009-11-18
1437485497 Planned Parenthood of Mid Hudson Valley Clinic/Center 178 Church St, Poughkeepsie, NY 12601-4165 2009-10-27
1174799290 Tioga Opportunities, Inc Clinic/Center 110 Central Ave, Owego, NY 13827-1311 2008-05-08
1275736449 Middletown Community Health Center Inc Clinic/Center 21 Orchard St, Middletown, NY 10940-5004 2007-06-06
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Competitor

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City ROSEDALE
Zip Code 11422

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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