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1104938455
JACQUELINE A AMMIRATA
WEST ISLIP, NY
NPI
1104938455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NY 2060531)
Enumeration Date
2006-08-31
Last Update Date
2021-10-14
Business Address
Ms. JACQUELINE A AMMIRATA MD
320 MONTAUK HIGHWAY SOUTH BAY OB GYN PC
WEST ISLIP, NY 11795-4401
Phone number: 631-587-2500
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Mailing Address
Ms. JACQUELINE A AMMIRATA MD
45 RESEARCH WAY STE 105 UNIVERSITY ASSOCIATES OBGYN
EAST SETAUKET, NY 11733-6401
Phone number: 631-672-8279
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