Organization
LONG ISLAND GYNECOLOGIC ONCOLOGISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAYNA MCCAULEY (OFFICE MANAGER)
(631) 864-5440
Entity
Organization
Contact information
Practice address
1077 W JERICHO TPKE, SMITHTOWN, NY 11787-3204
(631) 864-5440
(631) 864-5440
Mailing address
1077 W JERICHO TPKE, SMITHTOWN, NY 11787-3204
(631) 864-5440
(631) 864-5440
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01796625
—
NY
Enumeration date
07/23/2006
Last updated
12/22/2008
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