Organization
SOUTH NASSAU OBSTETRICS & GYNECOLOGY, PC
Active
Parent organization
SOUTH NASSAU COMMUNITIES HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH NASSAU COMMUNITIES HOSPITAL
Authorized official
MARK BOGEN (CFO)
(516) 632-3965
Entity
Organization
Contact information
Practice address
1 S CENTRAL AVE, VALLEY STREAM, NY 11580-5443
(516) 632-3350
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
05/22/2012
Last updated
03/25/2015
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