33D0714183 CLIA NUMBER - GREATER BINGHAMTON OBSTETRICS & GYNECOLOGY, PLLC

Laboratory Demographics

CLIA Number: 33D0714183

Facility Name: GREATER BINGHAMTON OBSTETRICS & GYNECOLOGY, PLLC

Facility Address:
365 HARRY L DRIVE, SUITE 110
JOHNSON CITY, NY
ZIP 13790
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Facility Phone Number: 607 629-5805

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1669615605

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	33D0714183
LAB Type	Physician Office
Facility Name	GREATER BINGHAMTON OBSTETRICS & GYNECOLOGY, PLLC
Street	365 HARRY L DRIVE, SUITE 110
City	JOHNSON CITY
State	NY
ZIP	13790
Phone	607 629-5805
CertificateType	2
CertificateEffectiveDate	4/28/2023
CertificateExpirationDate	4/27/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024