Organization
GYNECOLOGIC SPECIALISTS OF LONG ISLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY SPECTUR (ADMINISTRATOR)
(516) 433-5018
Entity
Organization
Contact information
Practice address
300 OLD COUNTRY RD, SUITE 201, MINEOLA, NY 11501
(516) 747-4406
(516) 747-4456
Mailing address
375 N BROADWAY, SUITE LL2, JERICHO, NY 11753
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
NY
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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