# SOUND GYNECOLOGIC ONCOLOGY PLLC

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

## Provider details

- **NPI number:** 1528253929
- **Authorized official:** DR. BEVERLY HANNAH ORTIZ M.D. (OWNER)
- **Authorized official phone:** (631) 298-4655

## Contact information

- **Practice address:** 20 RIVERLEIGH AVE, SUITE 2B, RIVERHEAD, NY 11901
- **Practice address phone:** (631) 298-4655
- **Practice address fax:** (631) 298-7569
- **Mailing address:** PO BOX 2407, RIVERHEAD, NY 11901
- **Mailing address phone:** (631) 298-4655
- **Mailing address fax:** (631) 298-5969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 207VX0201X | Gynecologic Oncology Physician | — | NULL | — |
| 207VX0201X | Gynecologic Oncology Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | 199062 | NY | Yes |

## Other

- **Enumeration date:** 09/09/2007
- **Last updated:** 10/26/2021