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NORTHERN NEW YORK OBS LLC
NPI 1063187607
Clinic/Center - Ambulatory Surgical in Watertown, NY

Active since August 16, 2021
1815 STATE ST, WATERTOWN, NY 13601(315) 788-6070 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Northern New York Obs Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN NEW YORK OBS LLC (NPI 1063187607) is a healthcare organization registered as an ambulatory surgical in Watertown, New York and active in the NPI registry since August 2021. The organization lists Noaman Sanni, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1063187607
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTHERN NEW YORK OBS LLC
Location Address1815 STATE STWatertown, NY 13601-9407
Mailing Address1815 State StWatertown, NY 13601-9407
Phone(315) 788-6070
Organization SubpartNo
Authorized OfficialNoaman SanniMedical Director · (315) 788-6070
Enumeration DateAugust 16, 2021
NPPES CertifiedAugust 16, 2021
✔ NPI 1063187607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedClinic/Center · Ophthalmologic SurgeryTaxonomy 261QS0132X
1815 STATE ST, Watertown, NY 13601
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NOAMAN SANNI MD
Ophthalmology
1815 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 788-6070
DR. WILLIAM GRACE CRANE JR. D.O., F.A.C.S.
Ophthalmology
1815 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 788-6070
MR. MARK PATRICK SHARROW
Technician/Technologist (Optician)
1815 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 788-6070
M B KAYANI PHYSICIAN PC
Ophthalmology
1815 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 788-6070
RACHEL GLEASON OPTICIAN
Technician/Technologist (Optician)
1815 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 786-8064
TARA SWAN OPTICIAN
Technician/Technologist (Optician)
1815 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 786-8064
JORDAN NATHANIEL HESS PA
Physician Assistant
1815 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 788-6070
DR. DEBRA ANNE KOLOMS MD
Ophthalmology
1815 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 788-6070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern New York Obs LLC's NPI number?

The NPI number for Northern New York Obs LLC is 1063187607. It was assigned to this organization in the NPPES registry on August 16, 2021.

Where is Northern New York Obs LLC located?

Northern New York Obs LLC is located at 1815 State St, Watertown, NY 13601. The listed phone number is (315) 788-6070.

What is Northern New York Obs LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Northern New York Obs LLC was last updated on August 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.