Elite Woman'S Medical Health Care

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

253610 Issued in NY

Legal business name

ELITE WOMAN'S MEDICAL HEALTH CARE

Practice address

110 4TH Ave
Brooklyn, NY 11217-2787

Phone

(718) 852-5810

Fax

(718) 802-1223

NPI assigned

Aug 4, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hazem Qalla, M.D.

Title

Owner

Phone

(718) 791-8551

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344038400000",
    "number": "1053668400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 2ND ST",
            "address_2": "APT 1603",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023075",
            "telephone_number": "201-656-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172787",
            "telephone_number": "718-852-5810",
            "fax_number": "718-802-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WOMAN'S MEDICAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-04",
        "last_updated": "2012-08-04",
        "status": "A",
        "authorized_official_last_name": "QALLA",
        "authorized_official_first_name": "HAZEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-791-8551",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "253610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elivasion Health & Wellness, LLC
• Eliyahus Pharmacy Inc.
• Nadeen Eliyan, FNP-BC
• Eliza Hecht LCSW PLLC

• Obstetrics & Gynecology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.