Provider Demographics
NPI:1891844510
Name:OB/GYN HEALTH CARE ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:OB/GYN HEALTH CARE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:CANINO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:607-770-9724
Mailing Address - Street 1:3101 SHIPPERS RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-2003
Mailing Address - Country:US
Mailing Address - Phone:607-770-9724
Mailing Address - Fax:607-797-7752
Practice Address - Street 1:3101 SHIPPERS RD
Practice Address - Street 2:SUITE 204
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-2003
Practice Address - Country:US
Practice Address - Phone:607-770-9724
Practice Address - Fax:607-797-7752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2013-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherTAX ID #