# JBA WOMEN'S MEDICAL PC

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

## Provider details

- **NPI number:** 1972882850
- **Authorized official:** JONELLE M BINGHAM M.D. (MEDICAL DIRECTOR/CEO)
- **Authorized official phone:** (914) 699-2659

## Contact information

- **Practice address:** 129 URBAN ST, MOUNT VERNON, NY 10552-3211
- **Practice address phone:** (914) 699-2659
- **Practice address fax:** (914) 699-2659
- **Mailing address:** 129 URBAN ST, MOUNT VERNON, NY 10552-3211
- **Mailing address phone:** (914) 699-2659
- **Mailing address fax:** (914) 699-2659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 230893 | NY | Yes |

## Other

- **Enumeration date:** 08/10/2011
- **Last updated:** 08/10/2011