SOUTHEAST OBSTETRICS & GYNECOLOGY 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 OBSTETRICS & GYNECOLOGY 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 Raphael T Tshibangu .
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 8/13/2008.