Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Intercounty OBGYN

Organization Obstetrics & Gynecology Physician · NPI 1083785083

Intercounty OBGYN is an Obstetrics & Gynecology Physician in Ridgewood, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

6608 Fresh Pond Rd
Ridgewood, NY 11385
Phone: (718) 497-3045
Fax: (718) 497-3126
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 203725 (NY)

Record details

NPI number1083785083
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bala Ravi — Owner Physician · (718) 497-3121
NPI enumeratedNovember 13, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 370508, Brooklyn, NY 11237

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