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

Myrtle Street Obstetrics and Gynecology, PC

Organization Obstetrics & Gynecology Physician · NPI 1629344320

Myrtle Street Obstetrics and Gynecology, PC is an Obstetrics & Gynecology Physician in Malta, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2105 Ellsworth Blvd
Malta, NY 12020
Phone: (518) 587-2400
Fax: (518) 581-0141
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 189300-1 (NY)

Record details

NPI number1629344320
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Louise West — Practice Administrator · (518) 587-5304
NPI enumeratedMarch 27, 2012
Last updated in NPPESMarch 27, 2012
Mailing address59 Myrtle St, Saratoga Springs, NY 12866-1093