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1174190326
SOUTH SHORE WOMENS CARE PLLC
WEST ISLIP, NY
NPI
1174190326
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Entity Type
Organization
Authorized Contact
LARISSA FOMITCHEVA
President
347-523-0054
Organization Subpart ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
Enumeration Date
2021-06-07
Last Update Date
2021-06-07
Business Address
SOUTH SHORE WOMENS CARE PLLC
750 MONTAUK HWY
WEST ISLIP, NY 11795-4411
Phone number: 347-523-0054
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Mailing Address
SOUTH SHORE WOMENS CARE PLLC
21 COBBLERS LN
DIX HILLS, NY 11746-5020
Phone number:
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