Myrtle Street Obstetrics and Gynecology, PC
Myrtle Street Obstetrics and Gynecology, PC provides Obstetrics & Gynecology Physician services in Malta, New York. Licensed in New York. Registered with an NPI since 2012.
- Licensed in
- NY
- In the registry since
- 2012
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2105 Ellsworth BlvdMalta, NY 12020 Not confirmed with CMS for 14 years — call before visiting
Phone: (518) 587-2400
Fax: (518) 581-0141
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X · Licence 189300-1 (NY) |
|---|
Record details
| NPI number | 1629344320 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Louise West — Practice Administrator · (518) 587-5304 |
| NPI enumerated | March 27, 2012 |
| Last updated in NPPES | March 27, 2012 |
| Mailing address | 59 Myrtle St, Saratoga Springs, NY 12866-1093 |