Healthcare Provider Details

I. General information

NPI: 1790953230
Provider Name (Legal Business Name): NORTH AREA MEDICAL GROUP P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2008
Last Update Date: 02/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 W TAFT RD STE 2G
LIVERPOOL NY
13088-4841
US

IV. Provider business mailing address

5100 W TAFT RD STE 2G
LIVERPOOL NY
13088-4841
US

V. Phone/Fax

Practice location:
  • Phone: 315-234-8982
  • Fax: 315-234-8981
Mailing address:
  • Phone: 315-234-8982
  • Fax: 315-234-8981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GEETA ROY
Title or Position: DOCTOR
Credential: M.D.
Phone: 315-234-8982