Provider Demographics
NPI:1245374396
Name:MIDTOWN OB-GYN, P.C.
Entity type:Organization
Organization Name:MIDTOWN OB-GYN, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:J
Authorized Official - Last Name:DOUEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-753-8839
Mailing Address - Street 1:41 E 57TH ST
Mailing Address - Street 2:SUITE 701
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1983
Mailing Address - Country:US
Mailing Address - Phone:212-753-8839
Mailing Address - Fax:212-753-8062
Practice Address - Street 1:41 E 57TH ST
Practice Address - Street 2:SUITE 701
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1983
Practice Address - Country:US
Practice Address - Phone:212-753-8839
Practice Address - Fax:212-753-8062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
A63379Medicare UPIN