Individual
MS. JACQUELINE A AMMIRATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
320 MONTAUK HIGHWAY, SOUTH BAY OB GYN PC, WEST ISLIP, NY 11795-4401
(631) 587-2500
(631) 587-0292
Mailing address
45 RESEARCH WAY STE 105, UNIVERSITY ASSOCIATES OBGYN, EAST SETAUKET, NY 11733-6401
(631) 672-8279
(631) 350-7200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2060531
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01944912
—
NY
01
—
2507203
GHI
NY
01
—
44G631
BCBS
NY
Enumeration date
08/31/2006
Last updated
10/14/2021
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