# WOMENS OBGYN PC

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

## Provider details

- **NPI number:** 1083079198
- **Authorized official:** CAROL MILLER MD (OWNER)
- **Authorized official phone:** (607) 754-9870

## Contact information

- **Practice address:** 401 MAIN ST, 1ST FLR., JOHNSON CITY, NY 13790-2064
- **Practice address phone:** (607) 754-9870
- **Practice address fax:** (607) 785-9862
- **Mailing address:** 401 MAIN ST, 1ST FLR., JOHNSON CITY, NY 13790-2064
- **Mailing address phone:** (607) 754-9870
- **Mailing address fax:** (607) 785-9862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 178206-1 | NY | Yes |

## Other

- **Enumeration date:** 12/17/2015
- **Last updated:** 01/17/2020