NPIMap

Organization Active NPI

Obstetrical-Gynecological Associates of the Southern Tier, P.C.

  • Obstetrics & Gynecology Physician
  • Endicott, NY
National Provider Identifier
1760433361
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
109953 Issued in NY
Legal business name
OBSTETRICAL-GYNECOLOGICAL ASSOCIATES OF THE SOUTHERN TIER, P.C.
Practice address
24 Madison Ave
Endicott, NY 13760-5214
Phone
(607) 754-9870
Fax
(607) 785-9862
NPI assigned
May 16, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bai Lee
Title
Physician
Phone
(607) 754-9870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 109953 NY Primary

Addresses

Primary practice location

24 Madison Ave
Endicott, NY 13760-5214

Mailing address

24 Madison Ave
Endicott, NY 13760-5214
Phone (607) 754-9870

National Provider Directory

National Provider Directory

Locations

24 Madison Ave
Endicott, NY 13760
Phone (607) 754-4796

875 State Route 17C
Owego, NY 13827
Phone (607) 754-9870

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1760433361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MADISON AVE",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605214",
            "telephone_number": "607-754-9870",
            "fax_number": "607-785-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MADISON AVE",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605214",
            "telephone_number": "607-754-9870",
            "fax_number": "607-785-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICAL-GYNECOLOGICAL ASSOCIATES OF THE SOUTHERN TIER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BAI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "607-754-9870",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "109953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endicott, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.