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Organization

BAY SHORE OB GYN GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT JOHN LIPARI MD (PRESIDENT)
(631) 665-0808
Entity
Organization

Contact information

Practice address
41 BRENTWOOD RD, BAY SHORE, NY 11706-6923
(631) 665-0808
(631) 665-0816
Mailing address
41 BRENTWOOD RD, BAY SHORE, NY 11706-6923
(631) 665-0808
(631) 665-0816

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
136230
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0059757 11068BS
GHI
05
00642764
NY
01
14454
VYTRA
01
2154
MAGNAHEALTH
01
4217872
AETNA
01
49221
CIGNA
01
70836
USHC AETNA
01
AG45807
MDNY
01
PM9116
BC
Enumeration date
10/31/2006
Last updated
06/10/2008
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