# EASTERN NIAGARA OB/GYN, PC

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

## Provider details

- **NPI number:** 1669422697
- **Authorized official:** ROGER G JAMMAL MD (PRESIDENT)
- **Authorized official phone:** (716) 433-1941

## Contact information

- **Practice address:** 175 WALNUT ST., SUITE 7, LOCKPORT, NY 14094-3775
- **Practice address phone:** (716) 433-1941
- **Practice address fax:** (716) 439-1233
- **Mailing address:** 175 WALNUT ST., SUITE 7, LOCKPORT, NY 14094-3775
- **Mailing address phone:** (716) 433-1941
- **Mailing address fax:** (716) 439-1233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 07/18/2015