Provider Demographics
NPI:1548907488
Name:MESBAH OB-GYN P C
Entity type:Organization
Organization Name:MESBAH OB-GYN P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MESBAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-987-9217
Mailing Address - Street 1:877 STEWART AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4803
Mailing Address - Country:US
Mailing Address - Phone:516-794-1500
Mailing Address - Fax:516-745-1445
Practice Address - Street 1:877 STEWART AVE STE 3
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4803
Practice Address - Country:US
Practice Address - Phone:516-794-1500
Practice Address - Fax:516-745-1445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty