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Contact Information

DR. JERRY NINIA OB-GYN PLLC
1 MEDICAL DR
SUITE D
PORT JEFFERSON STATION, NY11776-1599
 Phone: 631-331-0500
 Fax: 631-331-1644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for DR JERRY NINIA OB GYN PLLC · (Female)

NPI Number 1811127632
Status Active
Credentials
Entity Individual
Enumeration date 07/15/2009
Last updated 08/25/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 174810
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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