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

Northern New York Obs LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1063187607

Northern New York Obs LLC is an Ambulatory Surgical Clinic/Center in Watertown, New York. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1815 State St
Watertown, NY 13601-9407
Phone: (315) 788-6070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Ophthalmologic Surgery Clinic/Center Taxonomy 261QS0132X

Record details

NPI number1063187607
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Noaman Sanni — Medical Director · (315) 788-6070
NPI enumeratedAugust 16, 2021
Last updated in NPPESAugust 16, 2021
Certification dateAugust 16, 2021
Mailing address1815 State St, Watertown, NY 13601-9407

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