Organization
VILLAGE OBSTETRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUELINE M WORTH MD (MANAGER)
(212) 741-2229
Entity
Organization
Contact information
Practice address
1225 PARK AVE STE 1D, NEW YORK, NY 10128-1758
(212) 741-2229
(212) 741-2228
Mailing address
1225 PARK AVE STE 1D, NEW YORK, NY 10128-1758
(212) 741-2228
(212) 741-2228
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2114481
NY
207VM0101X
Maternal & Fetal Medicine Physician
Primary
198008-1
NY
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Enumeration date
02/22/2010
Last updated
02/01/2023
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