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NORTHEAST UROGYNECOLOGY PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY NPI 1447211552


NPI Information

NPI: 1447211552
Provider Name: NORTHEAST UROGYNECOLOGY PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY
Classification: Obstetrics & Gynecology - 207VF0040X
Entity Type: Organization

Specialization: Female Pelvic Medicine and Reconstructive Surgery

CLIA Number: 33D0987673

Address:
5 PALISADES DR
SUITE 220
ALBANY, NY
ZIP 12205
Phone: (518) 438-5538
Get Directions

NORTHEAST UROGYNECOLOGY PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY is a female pelvic medicine and reconstructive surgery obstetrics gynecology in Albany, NY. The provider is an obstetrics & gynecology physician subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. NORTHEAST UROGYNECOLOGY PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY NPI is 1447211552. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5 PALISADES DR
SUITE 220
ALBANY, NY
ZIP 12205-433
Phone: (518) 438-5538
Fax: (518) 438-6104

The provider's authorized official is Robert W Lobel .
The authorized official title is Owner and has the following contact phone number (518) 438-5538.

The CLIA number assigned to this NPI record is 33D0987673 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/29/2006 and was last updated on 2/16/2024.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyNo
2207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101679381MEDICAIDNEW YORK

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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