Organization
SOUTH FORK GYNECOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUISE M COLLINS MD (PRESIDENT PHYSICIAN)
(631) 329-6500
Entity
Organization
Contact information
Practice address
200 PANTIGO PLACE, SUITE D, EAST HAMPTON, NY 11937
(631) 329-6500
(631) 329-7832
Mailing address
200 PANTIGO PLACE, SUITE D, EAST HAMPTON, NY 11937
(631) 329-6500
(631) 329-7832
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
221321
NY
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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