Provider Demographics
NPI:1538364526
Name:NORTHERN DUTCHESS OBSTETRICS AND GYNECOLOGY
Entity type:Organization
Organization Name:NORTHERN DUTCHESS OBSTETRICS AND GYNECOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:BLOCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-338-5575
Mailing Address - Street 1:26 SPRING BROOK PARK
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1194
Mailing Address - Country:US
Mailing Address - Phone:845-876-2496
Mailing Address - Fax:845-876-5517
Practice Address - Street 1:26 SPRING BROOK PARK
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1194
Practice Address - Country:US
Practice Address - Phone:845-876-2496
Practice Address - Fax:845-876-5517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1690941207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty