NPI 1043570286

South Nassau Obstetrics & Gynecology, PC

Organisation Gynecology Physician Valley Stream, NY

Practice location

Address: 1 S Central Ave, Valley Stream, NY 11580-5443
Phone: (516) 632-3350
Mailing address: 1 Healthy Way, Oceanside, NY 11572-1551

Authorised official

Name: Mark Bogen
Title: Cfo
Phone: (516) 632-3965

Registered specialties

Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VG0400X

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Registry record

NPI: 1043570286
Entity type: Organization
NPI issued: 22 May 2012
Record last updated: 25 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.