Provider Demographics
NPI:1164428983
Name:ASSOCIATES IN OBSTETRICS & GYNECOLOGY, P.C.
Entity Type:Organization
Organization Name:ASSOCIATES IN OBSTETRICS & GYNECOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:RECH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-563-3260
Mailing Address - Street 1:25 DEGRANDPRE WAY
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-6449
Mailing Address - Country:US
Mailing Address - Phone:518-563-3260
Mailing Address - Fax:518-561-2877
Practice Address - Street 1:25 DEGRANDPRE WAY
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-6449
Practice Address - Country:US
Practice Address - Phone:518-563-3260
Practice Address - Fax:518-561-2877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CF7120OtherRAILROAD
NY01623734Medicaid
NY33569AMedicare ID - Type UnspecifiedGROUP MEDICARE NUMBER