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Organization
67TH STREET OB GYN PLLC
Active
Organization
67TH STREET OB GYN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ROSHAN (MD)
(212) 249-3949
Entity
Organization
Contact information
Practice address
115 E 67TH ST APT 1A, NEW YORK, NY 10065-5990
(212) 249-3949
(312) 602-9799
Mailing address
PO BOX 645990, CINCINNATI, OH 45264-5990
(212) 249-3949
(212) 249-3916
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/08/2015
Last updated
03/01/2023
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