Women's Health Services - (315) 376-5475


Gerard A. Crawford, M.D.,

Board Certified OB/GYN



Medical School: St. George's University School of Medicine

Dr. Crawford and his wife Toni relocated from Carthage, NY in 2007 having previously been in practice in Carthage for 20 years. After finishing residency at SUNY Downstate in Brooklyn he moved to the North Country specifically because he felt that the rural area needed university trained specialists in OB/GYN. He is committed to providing comprehensive and compassionate health care to North Country women. During his tenure in the North Country he worked as a contract physician for Fort Drum and provided colposcopy service to active duty personnel and dependents. He also served as Medical Director for PPNNY in the past. He is an affiliated preceptor for Lemoyne College's PA program for their OB/GYN rotations as well, and currently continues this role. A committed and caring physician, Dr. Crawford is interested in all aspects of his specialty from Obstetrics, Gynecology, and Gynecological Surgeries, to Well Women Services.  Dr. Crawford is accepting new patients.


Josefina Tan-Domingo, M.D., Board Certified OB/GYN

Board Certified: American Board of Obstetrics/Gynecology, Fellow, American Society of Colposcopy & Cervical Pathology

Medical School: 1965 University of Santo Tomas

On June 18, 1974, Board Certified Obstetrician/Gynecologist Dr. Josefina Tan-Domingo began her career  at Lewis County General Hospital. In June 2003, Dr. Tan-Domingo decided to retire. In June of 2004 Dr. Tan-Domingo decided to resume her practice at Lewis County General Hospital. During her 39 years at LCGH she touched a lot of people and became lovingly known throughout the community as "Dr. Josie." Her warmth, compassion and serious concern for every patient has helped her to build a large, successful practice. Over the years she has delivered approximately 5,000 babies into the world, with her first delivery occurring on July 6th, 1974. Dr. Domingo offers a comprehensive program of women's health care. Dr. Domingo is currently accepting new patients in her suite of offices on the second floor of the Medical Arts Building on the main campus of the hospital in Lowville. Dr. Josie is accepting new patients, call 376-5475 to schedule an appointment.


Cynthia H. Fraser, M.D., Board Certified OB/GYN

Medical School: SUNY Health Science Center, Syracuse

Dr. Fraser received a B.A. in mathematics from Cornell University. She received her Doctor of Medicine from SUNY Health Science Center where she was an AOA nominee. Dr. Fraser performed her OB/GYN Internship at the SUNY Health Center and her OB/GYN Residency at the Albany Medical Center. Dr. Fraser came to LCGH from a private practice in the Finger Lakes region where she was the Attending physician with full admitting and surgical privileges at Nicholas H. Moyes Memorial Hospital. Dr. Fraser is currently accepting new patients at Women’s Health Services, located in the Medical Arts Building on the main campus of LCGH. Dr. Fraser welcomes you to make an appointment today for your women’s health care needs.


Norman Neches, M,D, Board Certified OB/GYN

Medical School: State University of New York, Downstate Medical Center in Brooklyn, New York

Dr. Neches graduated with his medical degree from the State University of New York, Downstate Medical Center in Brooklyn, New York and completed his post-graduate training in Obstetrics and Gynecology at Maimonides Medical Center, also in Brooklyn, New York. 

Dr. Neches brings extensive experience, both academic and professional to Lewis County, having served on the Board of Trustees of Maimonides Medical Center, and as the Program Director of the OB/Gyn Residency Program and Associate Chairman for the Department of Obstetrics and Gynecology at Rush University Medical College, Rush-Presbyterian-St. Luke’s Medical Center in Chicago Illinois.  He was in private practice for over ten years in Washington D.C, where he was on staff at George Washington University Medical Center, was attending physician with the Greater Hudson Valley Family Health Center in Newburgh, New York, and most recently was on staff at Noyes Memorial Hospital, Dansville, New York. 

Dr. Neches is currently accepting new patients at Women’s Health Services, located in the Medical Arts Building on the main campus of LCGH. 


Selina Hughes, Adult Nurse Practitioner

Selina Hughes has 11 years as an Adult Nurse Practioner, with 38 years of nursing experience. She also has experieince with a variety of disciplines in hospital, office, and clinical environments.

Degree/School: 11/22/97 Adult Nurse Practitioner, Community General Hospital, Syracuse, NY.

In addition to degree and certification programs, She is an active participant in continuing education through seminars and workshops.