Provider Demographics
NPI:1609299072
Name:IRIS ORBUCH MD LLC
Entity Type:Organization
Organization Name:IRIS ORBUCH MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ORBUCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-343-3040
Mailing Address - Street 1:202 SPRING ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-3645
Mailing Address - Country:US
Mailing Address - Phone:212-343-3040
Mailing Address - Fax:212-343-3036
Practice Address - Street 1:202 SPRING ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-3645
Practice Address - Country:US
Practice Address - Phone:212-343-3040
Practice Address - Fax:212-343-3036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221289207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty