# BAY SHORE OB GYN GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407932684
- **Authorized official:** DR. ROBERT JOHN LIPARI MD (PRESIDENT)
- **Authorized official phone:** (631) 665-0808

## Contact information

- **Practice address:** 41 BRENTWOOD RD, BAY SHORE, NY 11706-6923
- **Practice address phone:** (631) 665-0808
- **Practice address fax:** (631) 665-0816
- **Mailing address:** 41 BRENTWOOD RD, BAY SHORE, NY 11706-6923
- **Mailing address phone:** (631) 665-0808
- **Mailing address fax:** (631) 665-0816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 136230 | NY | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 06/10/2008