# SOUTH BEACH OB GYN

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

## Provider details

- **NPI number:** 1457499741
- **Authorized official:** MRS. KATAHLEEN GARCIA (CONTROLLER)
- **Authorized official phone:** (718) 869-7641

## Contact information

- **Practice address:** 327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
- **Practice address phone:** (718) 869-7641
- **Practice address fax:** (718) 869-8507
- **Mailing address:** 327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
- **Mailing address phone:** (718) 869-7641
- **Mailing address fax:** (718) 869-8507

## Taxonomy

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

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 08/22/2020