| NPI | 1780312975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J FERNANDEZ VP, Rcm 516-972-1568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |