Basic Information
| Provider Information | |||||||||
| NPI: | 1205846607 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHMIDT-SAROSI | ||||||||
| FirstName: | CECILIA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 51 E 67TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100655949 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125355337 | ||||||||
| FaxNumber: | 6469984594 | ||||||||
| Practice Location | |||||||||
| Address1: | 51 E 67TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100655949 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125355350 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2006 | ||||||||
| LastUpdateDate: | 11/06/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VE0102X | 131192 | NY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Reproductive Endocrinology |
ID Information
| ID | Type | State | Issuer | Description | AS2782476 | 01 | DEA NUMBER | OTHER | 131192 | 01 | NY | LICENSE | OTHER |