Individual
VAIBHAVI UMESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.S.
Contact information
Practice address
101 NICOLLS RD, DEPARTMENT OF OB/GYN, HSC, T9, STONY BROOK, NY 11794-8091
(631) 444-4686
(631) 444-4622
Mailing address
3 RINGO RD, PORT JEFFERSON STATION, NY 11776-1815
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
309548
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
10/14/2021
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