MEDICARE: LENOX OBGYN, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1891317582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LENOX OBGYN, LLC

Provider Business Mailing Address
First Line	:	203 E 62ND ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-7685
Country	:	US
Telephone Number	:	631-864-3478
Fax Number	:	877-606-1366

Provider Business Practice Location Address
First Line	:	203 E 62ND ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-7685
Country	:	US
Telephone Number	:	631-864-3478
Fax Number	:	877-606-1366

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL PLAKOGIANNIS
Credential	:	MD
Telephone Number	:	917-596-2567

Provider Enumeration Date	:	05/15/2020
Last Update Date	:	02/15/2022

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