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Contact Information

ISLAND GYNECOLOGIC ONCOLOGY, PLLC
404 POTTER BLVD
BRIGHTWATERS, NY11718-1830
 Phone: 631-376-0055
 Fax: 631-376-0099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ISLAND GYNECOLOGIC ONCOLOGY PLLC · (Female)

NPI # 1699034314
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2012
Last updated 05/15/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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