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LAKESIDE OBGYN PLLC NPI 1275638926


NPI Information

NPI: 1275638926
Provider Name: LAKESIDE OBGYN PLLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1 FIRST STREET
WATKINS GLEN, NY
ZIP 14891
Phone: (607) 535-7340
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LAKESIDE OBGYN PLLC is an obstetrics gynecology in Watkins Glen, 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. LAKESIDE OBGYN PLLC NPI is 1275638926. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 FIRST STREET
WATKINS GLEN, NY
ZIP 14891
Phone: (607) 535-7340
Fax: (607) 535-7941

The provider's authorized official is Hani Chehata .
The authorized official title is President and has the following contact phone number (607) 535-7351.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology233381NEW YORKYes

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: 4/28/2024

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