Individual
DR. ILENE GEWIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
369 E MAIN ST, SUITE11 BLDG 2, EAST ISLIP, NY 11730-2800
(631) 859-9793
(631) 277-4608
Mailing address
369 E MAIN ST, SUITE11 BLDG 2, EAST ISLIP, NY 11730-2800
(631) 859-9793
(631) 277-4608
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
163315
NY
Other
Enumeration date
02/08/2006
Last updated
03/14/2012
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