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Organization

GREAT SOUTH BAY OTOLARYNGOLOGY PC

Active
Other names
Gargano Bonafede Campbell ODonnell Bergson
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT GARGANO MD (PRESIDENT)
(631) 665-2430
Entity
Organization

Contact information

Practice address
375 E MAIN ST, SUITE 17, BAY SHORE, NY 11706-8418
(631) 665-2430
(631) 665-2342
Mailing address
375 E MAIN ST, SUITE 17, BAY SHORE, NY 11706-8418
(631) 665-2430
(631) 665-2342

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
01/12/2007
Last updated
10/14/2014
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