Organization
DELTA OB-GYN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KEVIN FITZPATRICK MD (PRESIDENT)
(716) 712-0862
Entity
Organization
Contact information
Practice address
1026 UNION RD, WEST SENECA, NY 14224-3445
(716) 716-0862
(716) 712-0863
Mailing address
1026 UNION RD, WEST SENECA, NY 14224-3445
(716) 716-0862
(716) 712-0863
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6028451
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03031601
—
NY
Enumeration date
01/31/2008
Last updated
01/04/2011
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