Provider Demographics
NPI:1124149018
Name:BROOKLYN WOMEN'S HEALTHCARE MDS PC
Entity type:Organization
Organization Name:BROOKLYN WOMEN'S HEALTHCARE MDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:MAHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-238-1276
Mailing Address - Street 1:110 4TH AVE
Mailing Address - Street 2:LEVEL C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217
Mailing Address - Country:US
Mailing Address - Phone:718-238-1276
Mailing Address - Fax:718-921-3448
Practice Address - Street 1:110 4TH AVE
Practice Address - Street 2:LEVEL C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217
Practice Address - Country:US
Practice Address - Phone:718-238-1276
Practice Address - Fax:718-921-3448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty