Provider Demographics
NPI:1790953230
Name:NORTH AREA MEDICAL GROUP P.C.
Entity Type:Organization
Organization Name:NORTH AREA MEDICAL GROUP P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GEETA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-234-8982
Mailing Address - Street 1:5100 W TAFT RD STE 2G
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088-4841
Mailing Address - Country:US
Mailing Address - Phone:315-234-8982
Mailing Address - Fax:315-234-8981
Practice Address - Street 1:5100 W TAFT RD STE 2G
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13088-4841
Practice Address - Country:US
Practice Address - Phone:315-234-8982
Practice Address - Fax:315-234-8981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB82352Medicare UPIN