# OAKDALE MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHSIDE HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891998373
- **Legal business name:** SOUTHSIDE HOSPITAL
- **Authorized official:** MS. WINIFRED B. MACK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (631) 968-3000

## Contact information

- **Practice address:** 971 MONTAUK HWY, OAKDALE, NY 11769-1434
- **Practice address phone:** (631) 675-4149
- **Mailing address:** 971 MONTAUK HWY, OAKDALE, NY 11769-1434
- **Mailing address phone:** (631) 675-4149

## Taxonomy

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

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 10/30/2007