SOUTHEAST OB-GYN PC NPI 1184764524

NPI Information

  • NPI: 1184764524
  • Provider Name: SOUTHEAST OB-GYN PC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • CLIA Number: 33D0173031
  • Address: 990 SOUTH AVE
    SUITE 104
    ROCHESTER, NY
    ZIP 14620
  • Phone: (585) 256-3000

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NPI Details

SOUTHEAST OB-GYN PC is an obstetrics gynecology in Rochester, NY. The provider is 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. SOUTHEAST OB-GYN PC NPI is 1184764524. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

990 SOUTH AVE
SUITE 104
ROCHESTER, NY
ZIP 14620-740
Phone: (585) 256-3000
Fax: (585) 256-3045

The provider's authorized official is Katrina Foster .
The authorized official title is President and has the following contact phone number (585) 256-3000.

The CLIA number assigned to this NPI record is 33D0173031 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/7/2007 and was last updated on 1/2/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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