ADVANCED OB/GYN PC NPI 1356634554

NPI Information

ADVANCED OB/GYN, PC is an obstetrics gynecology in Brooklyn, 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. ADVANCED OB/GYN, PC NPI is 1356634554. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1725 E 12TH ST
#301
BROOKLYN, NY
ZIP 11229-028
Phone: (718) 336-1909
Fax: (718) 336-1929

The provider's authorized official is Kamila Agayava .
The authorized official title is Owner and has the following contact phone number (718) 336-1909.

The CLIA number assigned to this NPI record is 33D2034114 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2011 and was last updated on 2/8/2024.

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:

Other Identifiers

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