Provider Demographics
NPI:1962455279
Name:WOMENS CARE IN OBSTETRICS AND GYNECOLOGY PC
Entity Type:Organization
Organization Name:WOMENS CARE IN OBSTETRICS AND GYNECOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GAZZILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-793-4477
Mailing Address - Street 1:45 HUDSON AVE
Mailing Address - Street 2:PO BOX 144
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-4313
Mailing Address - Country:US
Mailing Address - Phone:518-793-4477
Mailing Address - Fax:518-798-7541
Practice Address - Street 1:45 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-4313
Practice Address - Country:US
Practice Address - Phone:518-793-4477
Practice Address - Fax:518-798-7541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty