Hadassah OBGYN PLLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

163782 Issued in NY

Legal business name

HADASSAH OBGYN PLLC

Practice address

22 E 36TH St
Suite 1a
New York, NY 10016-3419

Phone

(212) 725-0123

Fax

(212) 725-3738

NPI assigned

May 15, 2008

Last updated

May 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Boris Petrikovsky, MD

Title

Executive Officer

Phone

(212) 725-0123

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1619144904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231023",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110230023",
            "telephone_number": "212-725-0123",
            "fax_number": "212-725-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 E 36TH ST",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163419",
            "telephone_number": "212-725-0123",
            "fax_number": "212-725-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADASSAH OBGYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "PETRIKOVSKY",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "212-725-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "163782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yael Hadani, MD
• Oded Hadar
• Orna Hadar, M.D
• Youn Hadar, LAC
• Adam Hadas, APN, FNP-BC
• Juliana Hey Hadavi, M.D.
• Marzieh Hadavi, LMSW, LCPSYA
• Shawn Hadavi
• Cynthia Hadaya, PA-C
• Ceri E Hadda, M.D.

• Preferred Provider Organization in New York, NY
• Providers in New York, NY by specialty
• Preferred Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.