# MID ISLAND GYN

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

## Provider details

- **NPI number:** 1720275977
- **Authorized official:** JUDI AURIGEMMA (OFFICE MANAGER)
- **Authorized official phone:** (516) 513-1184

## Contact information

- **Practice address:** 4212 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5723
- **Practice address phone:** (516) 513-1184
- **Practice address fax:** (516) 513-1187
- **Mailing address:** 4212 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5723
- **Mailing address phone:** (516) 513-1184
- **Mailing address fax:** (516) 513-1187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 131615 | NY | Yes |

## Other

- **Enumeration date:** 10/02/2007
- **Last updated:** 12/07/2007