Organization
UNIVERSITY OB/GYN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN T NOSOVITCH JR. MD (CHAIRMAN)
(315) 470-7545
Entity
Organization
Contact information
Practice address
736 IRVING AVE, 3 WEST TOWER, SYRACUSE, NY 13210-1687
(315) 470-7575
Mailing address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7575
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
NY
207VE0102X
Reproductive Endocrinology Physician
—
NY
207VG0400X
Gynecology Physician
Primary
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
NY
207VX0000X
Obstetrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02670804
—
NY
01
—
CE7373
RAILROAD MEDICARE NUMBER
NY
Enumeration date
06/10/2006
Last updated
05/10/2021
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