Organization · Type 2 NPI

St. Petersburg Medical Care LLC

Gynecology Physician · Lockport, NY

NPI number 1437609807 Active

Practice location

225 East Ave
Lockport, NY 14094-3812

Mailing address

2001 16th St N, Attn:paul C Jensen
St. Petersburg, FL 33704-3921

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X202334 (NY)
Gynecology Physician Primary 207VG0400X202334 (NY)

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

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About NPI 1437609807

St. Petersburg Medical Care LLC's National Provider Identifier is 1437609807, issued on Oct 10, 2016. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Lockport, NY. The record was last updated on Oct 10, 2016.