GREATER BINGHAMTON OBSTETRICS AND GYNECOLOGYPLLC NPI 1669615605

NPI Information

  • NPI: 1669615605
  • Provider Name: GREATER BINGHAMTON OBSTETRICS AND GYNECOLOGY,PLLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • CLIA Number: 33D0714183
  • Address: 365 HARRY L DR
    SUITE 110
    JOHNSON CITY, NY
    ZIP 13790
  • Phone: (607) 729-5805

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NPI Details

GREATER BINGHAMTON OBSTETRICS AND GYNECOLOGY,PLLC is an obstetrics gynecology in Johnson City, 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. GREATER BINGHAMTON OBSTETRICS AND GYNECOLOGY,PLLC NPI is 1669615605. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

365 HARRY L DR
SUITE 110
JOHNSON CITY, NY
ZIP 13790-471
Phone: (607) 729-5805
Fax: (607) 729-7714

The provider's authorized official is Domenico A Leuci .
The authorized official title is Owner and has the following contact phone number (607) 727-5805.

The CLIA number assigned to this NPI record is 33D0714183 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/7/2009 and was last updated on 4/13/2015.

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 & Gynecology232736NEW YORKYes

What is NPI?

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This page was last updated on: 3/30/2025

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