National Provider Identifier Database

SOUTH FORK GYNECOLOGY
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

SOUTH FORK GYNECOLOGY
200 PANTIGO PLACE
SUITE D
EAST HAMPTON, NY11937
Phone: 631-329-6500
Fax: 631-329-7832
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for SOUTH FORK GYNECOLOGY

NPI Number 1295911741
Legal business name
LBN
SOUTH FORK GYNECOLOGY
Authorized official LOUISE COLLINS - (PRESIDENT PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 01/15/2008
Last updated 01/15/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 221321

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.

Reviews for SOUTH FORK GYNECOLOGY

There are currently no reviews for SOUTH FORK GYNECOLOGY


NPIdb - Home
v2.201