Healthcare Provider Details
I. General information
NPI: 1700968104
Provider Name (Legal Business Name): LEXINGTON OB/GYN, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
145 E 32ND ST 11TH FLOOR
NEW YORK NY
10016-6055
US
IV. Provider business mailing address
145 E 32ND ST 11TH FLOOR
NEW YORK NY
10016-6055
US
V. Phone/Fax
- Phone: 212-686-8686
- Fax: 212-686-1920
- Phone: 212-686-8686
- Fax: 212-686-1920
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | NY |
VIII. Authorized Official
Name: DR.
ALISON
G
HO
Title or Position: PARTNER
Credential: MD
Phone: 212-686-8686