# LAKESIDE OBGYN PLLC

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

## Provider details

- **NPI number:** 1275638926
- **Authorized official:** HANI CHEHATA MD (PRESIDENT)
- **Authorized official phone:** (607) 535-7351

## Contact information

- **Practice address:** 1 FIRST STREET, WATKINS GLEN, NY 14891
- **Practice address phone:** (607) 535-7340
- **Practice address fax:** (607) 535-7941
- **Mailing address:** 1 FIRST STREET, WATKINS GLEN, NY 14891
- **Mailing address phone:** (607) 535-7340
- **Mailing address fax:** (607) 535-7941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 233381 | NY | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 08/22/2020