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Organization

SOUTH BAY OBGYN PC

Active
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Organization

SOUTH BAY OBGYN PC

Active
Other names
South Bay Obstetrics Gynecology PC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DENISE E LESTER MD (PHYSICIAN PRESIDENT OF PC)
(631) 587-2500
Entity
Organization

Contact information

Practice address
320 MONTAUK HWY, SOUTH BAY OBGYN PC, WEST ISLIP, NY 11795-4401
(631) 587-2500
(631) 587-0292
Mailing address
320 MONTAUK HWY, SOUTH BAY OBGYN PC, WEST ISLIP, NY 11795-4401
(631) 587-2500
(631) 587-0292

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—

Other

Enumeration date
08/31/2006
Last updated
05/03/2011
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