Organization · Type 2 NPI

Myrtle Street Obstetrics and Gynecology, PC

Obstetrics & Gynecology Physician · Malta, NY

NPI number 1629344320 Active

Practice location

2105 Ellsworth Blvd
Malta, NY 12020

Fax (518) 581-0141

Mailing address

59 Myrtle St
Saratoga Springs, NY 12866-1093

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X189300-1 (NY)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

About NPI 1629344320

Myrtle Street Obstetrics and Gynecology, PC's National Provider Identifier is 1629344320, issued on Mar 27, 2012. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Malta, NY. The record was last updated on Mar 27, 2012.