ADVANCED OB GYN PLLC NPI 1801897574

NPI Information

ADVANCED OB GYN, PLLC is an obstetrics gynecology in Syracuse, 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, PLLC NPI is 1801897574. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4850 BROAD RD
SUITE 2C
SYRACUSE, NY
ZIP 13215-100
Phone: (315) 492-5915
Fax: (315) 492-5210

The provider's authorized official is Myron O Luthringer .
The authorized official title is Owner and has the following contact phone number (315) 492-5915.

The CLIA number assigned to this NPI record is 33D0901775 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/3/2005 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:

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