# WILLIAMSBURG OB GYN PC

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

## Provider details

- **NPI number:** 1932334372
- **Authorized official:** DR. STEPHANIE L GORDIENKO M.D (ATTENDING)
- **Authorized official phone:** (212) 427-4111

## Contact information

- **Practice address:** 6620 FRESH POND RD, RIDGEWOOD, NY 11385-3314
- **Practice address phone:** (718) 381-2240
- **Mailing address:** 1619 3RD AVE APT 7B, NEW YORK, NY 10128-3461
- **Mailing address phone:** (212) 427-4111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 235252 | NY | Yes |

## Other

- **Enumeration date:** 05/28/2009
- **Last updated:** 05/28/2009