Provider Demographics
NPI:1194568667
Name:LOWER HUDSON OB-GYN PROCEDURES PC
Entity type:Organization
Organization Name:LOWER HUDSON OB-GYN PROCEDURES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-656-0142
Mailing Address - Street 1:175 MEMORIAL HWY STE 2-6
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5640
Mailing Address - Country:US
Mailing Address - Phone:917-656-0142
Mailing Address - Fax:
Practice Address - Street 1:175 MEMORIAL HWY STE 2-6
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5640
Practice Address - Country:US
Practice Address - Phone:917-656-0142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty