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Organization
MADONNA PHYSICIANS SERVICES PC
Active
Organization
MADONNA PHYSICIANS SERVICES PC
Active
Other names
Madonna Perinatal Services
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY SPECTOR (ADMINISTRATOR)
(516) 633-5018
Entity
Organization
Contact information
Practice address
300 OLD COUNTRY RD, MINEOLA, NY 11501
(516) 747-4616
(516) 747-4756
Mailing address
375 N BORADWAY, SUITE LL2, JERICHO, NY 11753
(516) 433-5018
(516) 433-5084
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
135376
NY
207VM0101X
Maternal & Fetal Medicine Physician
Primary
217664
NY
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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