# MESDAME OB/GYN PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063697704
- **Authorized official:** DR. LAURE M LAURISTON (PHYSICIAN)
- **Authorized official phone:** (914) 423-0025

## Contact information

- **Practice address:** 45 LUDLOW ST, SUITE 506, YONKERS, NY 10705-1947
- **Practice address phone:** (914) 423-0025
- **Practice address fax:** (914) 423-0334
- **Mailing address:** 45 LUDLOW ST, SUITE 506, YONKERS, NY 10705-1947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 242494 | NY | Yes |

## Other

- **Enumeration date:** 12/31/2007
- **Last updated:** 07/17/2012