Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hadassah OBGYN PLLC

Organization Preferred Provider Organization · NPI 1619144904

Hadassah OBGYN PLLC is a Preferred Provider Organization in New York, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22 E 36th St Ste 1A
New York, NY 10016-3419
Phone: (212) 725-0123
Fax: (212) 725-3738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 163782 (NY)

Record details

NPI number1619144904
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Boris Petrikovsky — Executive Officer · (212) 725-0123
NPI enumeratedMay 15, 2008
Last updated in NPPESMay 15, 2008
Mailing addressPo Box 231023, Great Neck, NY 11023-0023

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