Organization
SOUND GYNECOLOGIC ONCOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY HANNAH ORTIZ M.D. (OWNER)
(631) 298-4655
Entity
Organization
Contact information
Practice address
20 RIVERLEIGH AVE, SUITE 2B, RIVERHEAD, NY 11901
(631) 298-4655
(631) 298-7569
Mailing address
PO BOX 2407, RIVERHEAD, NY 11901
(631) 298-4655
(631) 298-5969
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
199062
NY
Other
Enumeration date
09/09/2007
Last updated
10/26/2021
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