# ST. NICHOLAS OB/GYN ASSOCIATES, P.C.

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

## Provider details

- **NPI number:** 1750519039
- **Authorized official:** DR. PRASANTA CHANDRA M.D. (PRESIDENT)
- **Authorized official phone:** (718) 418-8745

## Contact information

- **Practice address:** 220A SAINT NICHOLAS AVE, BROOKLYN, NY 11237-4807
- **Practice address phone:** (718) 418-8745
- **Practice address fax:** (718) 418-8725
- **Mailing address:** 220A SAINT NICHOLAS AVE, BROOKLYN, NY 11237-4807
- **Mailing address phone:** (718) 418-8745
- **Mailing address fax:** (718) 418-8725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 192258 | NY | — |
| 207V00000X | Obstetrics & Gynecology Physician | 205630 | NY | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 123612 | NY | Yes |
| 363A00000X | Physician Assistant | 005610 | NY | — |

## Other

- **Enumeration date:** 06/25/2009
- **Last updated:** 06/25/2009