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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

NPI # 1811127632
LBN Legal business name DR. JERRY NINIA OB-GYN PLLC
Authorized official JERRY NINIA - (SOLE PROPRIETOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2009
Last updated 08/25/2010 - About 16 years ago
Identifiers
NY License # 174810
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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