SOUTH ORANGE GYNECOLOGY PC – NPI #1003907072
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

SOUTH ORANGE GYNECOLOGY PC is a provider located in MONROE, NY. NPPES has assigned the NPI number 1003907072 to SOUTH ORANGE GYNECOLOGY PC on September 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 17 years ago on Sep 29, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH ORANGE GYNECOLOGY PC below.

NPI Profile for
SOUTH ORANGE GYNECOLOGY PC

NPI Number
1003907072
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH ORANGE GYNECOLOGY PC
Primary location
600 ROUTE 208
MONROE, NY 10950
Phone: (845) 782-7277 Fax: (845) 782-5745
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BERNARD LUCK
OWNER PHYSICIAN
Phone: (845) 782-5745
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.