Healthcare Provider Details

I. General information

NPI: 1902963465
Provider Name (Legal Business Name): NY DOWNTOWN OB GYN ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 12/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 WILLIAM ST FL 5
NEW YORK NY
10038-2612
US

IV. Provider business mailing address

170 WILLIAM ST # 706
NEW YORK NY
10038-2612
US

V. Phone/Fax

Practice location:
  • Phone: 212-312-5880
  • Fax:
Mailing address:
  • Phone: 212-312-5761
  • Fax: 212-312-5748

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: DAWN TOSNER
Title or Position: VP OF FINANCE
Credential:
Phone: 212-312-5768