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Organization
OB/GYN SERVICES P.C
Active
Organization
OB/GYN SERVICES P.C
Active
Other names
Center for Maternal Fetal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL Y DIVON M.D. (PRESIDENT)
(212) 434-2160
Entity
Organization
Contact information
Practice address
130 EAST 77TH STREET, NEW YORK, NY 10075
(212) 434-2585
(212) 434-2267
Mailing address
130 EAST 77TH STREET, NEW YORK, NY 10075
(212) 434-2585
(212) 434-2267
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
108309
NY
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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