Organization
MADONNA PHYSICIANS SERVICES PC
Active
Other names
Madonna Perinatal Services
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY SPECTOR (ADMINISTRATOR)
(516) 633-5018
Entity
Organization
Contact information
Practice address
300 OLD COUNTRY RD, MINEOLA, NY 11501
(516) 747-4616
(516) 747-4756
Mailing address
375 N BORADWAY, SUITE LL2, JERICHO, NY 11753
(516) 433-5018
(516) 433-5084
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
135376
NY
207VM0101X
Maternal & Fetal Medicine Physician
Primary
217664
NY
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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