| NPI | 1376655621 |
|---|---|
| Other Name | SOUTH BAY OBSTETRICS GYNECOLOGY PC |
| Entity Type | Organization |
| Authorized Contact | DENISE E LESTER Physician President Of Pc 631-587-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-05-03 |