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Organization
300 OLD COUNTRY ROAD MEDICAL PLLC
Active
Organization
300 OLD COUNTRY ROAD MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE TYDINGS MD (MEDICAL DIRECTOR)
(516) 702-4924
Entity
Organization
Contact information
Practice address
300 OLD COUNTRY RD STE 201, MINEOLA, NY 11501-4199
(516) 702-4924
Mailing address
1231 MOORES HILL RD, SYOSSET, NY 11791-9631
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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