Organization
PARK LENOX OB GYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE BREDA (MGR)
(631) 951-4644
Entity
Organization
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Mailing address
100 E 77TH ST, NEW YORK, NY 10075-1850
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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