# FAMILY OBSTETRICS-GYNECOLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Obstetrics-Gynecology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932389517
- **Authorized official:** MS. CAROL JEAN BRANCHAUD R.N. (OFFICE MANAGER)
- **Authorized official phone:** (315) 769-7777

## Contact information

- **Practice address:** 15 HOSPITAL DR, SUITE A, MASSENA, NY 13662-1037
- **Practice address phone:** (315) 769-7777
- **Mailing address:** 15 HOSPITAL DR, SUITE A, MASSENA, NY 13662-1037
- **Mailing address phone:** (315) 769-7777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 232251 | NY | Yes |

## Other

- **Enumeration date:** 11/12/2007
- **Last updated:** 11/12/2007
