Organization
WOMEN'S OUTREACH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY M SOLOMON (EXECUTIVE DIRECTOR)
(631) 581-4171
Entity
Organization
Contact information
Practice address
54 LINCOLN AVE, ISLIP TERRACE, NY 11752-2722
(631) 581-4171
(631) 859-4904
Mailing address
54 LINCOLN AVE, ISLIP TERRACE, NY 11752-2722
(631) 581-4171
(631) 859-4904
Taxonomy
Speciality
Code
Description
License number
State
261QR0207X
Mobile Mammography Clinic/Center
Primary
5154206R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01292635
—
NY
Enumeration date
11/01/2006
Last updated
08/22/2020
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