Healthcare Provider Details

I. General information

NPI: 1578285136
Provider Name (Legal Business Name): GONSKI GYNECOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 09/19/2022
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6003 W END BLVD
NEW ORLEANS LA
70124-1933
US

IV. Provider business mailing address

27 STILT ST
NEW ORLEANS LA
70124-4403
US

V. Phone/Fax

Practice location:
  • Phone: 504-459-2591
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: LEAH GONSKI
Title or Position: PHYSICIAN
Credential:
Phone: 225-936-7850