National Provider Identifier
Southeast Ob-Gyn PC
Southeast Ob-Gyn PC is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Rochester, NY and a listed phone number of (585) 256-3000.
Profile Overview
- NPI
- 1184764524
- Provider Type
- Organization
- Primary Specialty
- Obstetrics & Gynecology Physician
- Enumeration Date
- February 07, 2007
- Last Updated
- January 02, 2026
Practice Location
- 990 South Ave
- Suite 104
- Rochester, NY 14620-2740
Phone: (585) 256-3000
Mailing Address
- 990 South Ave
- Suite 104
- Rochester, NY 14620
Specialties
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1184764524
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Southeast Ob-Gyn PC
- Mailing Street Address
- 990 South Ave
- Mailing Address Line 2
- Suite 104
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620
- Mailing Country
- US
- Mailing Phone
- (585) 256-3000
- Practice Street Address
- 990 South Ave
- Practice Address Line 2
- Suite 104
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2740
- Practice Country
- US
- Practice Phone
- (585) 256-3000
- Practice Fax
- (585) 256-3045
- Enumeration Date
- February 07, 2007
- Last Updated
- January 02, 2026
- Authorized Official Last Name
- Foster
- Authorized Official First Name
- Katrina
- Authorized Official Title
- President
- Authorized Official Phone
- (585) 256-3000
- Organization Subpart
- No
- Authorized Official Credential Text
- MD
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- January 02, 2026
- Taxonomies
- Obstetrics & Gynecology Physician (207V00000X)