Organization
ILENE GEWIRTZ GYN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILENE S. GEWIRTZ M.D. (PRESIDENT)
(631) 859-9793
Entity
Organization
Contact information
Practice address
369 E MAIN ST, STE 11 BLDG 2, EAST ISLIP, NY 11730-2800
(631) 859-9793
(631) 277-4608
Mailing address
369 E MAIN ST, STE 11 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
07/15/2008
Last updated
07/15/2008
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