Lakeside Obgyn Pllc

NPI 1275638926 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1275638926
Enumeration Date 09/14/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name HANI HANI
Position PRESIDENT
Phone (607) 535-7340
Fax (607) 535-7941
Practice Location
1 FIRST STREET
WATKINS GLEN NY, 14891, US
Phone (607) 535-7340
Fax (607) 535-7941
Business Location
1 FIRST STREET
WATKINS GLEN NY, 14891, US
Phone (607) 535-7340
Fax (607) 535-7941
Toxanomy
Taxonomy Code 207V00000X
License State New York
License Number 233381
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According to our database, Lakeside Obgyn Pllc NPI is 1275638926, taxonomy code is 207V00000X and license number is 233381, license state is located at New York. Lakeside Obgyn Pllc physically located at 1 First Street, Watkins Glen NY, 14891. NPI Number 1033115704 has the healthcare provider type.

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1275638926 NPI number is provided on an as is basis without warranty of any kind. 1275638926 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeside Obgyn Pllc are for informational purposes only.