Organization
SOUTH SHORE WOMENS MEDICAL ASSOICATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN S. HASELKORN M.D. (PHYSICIAN)
(516) 255-2044
Entity
Organization
Contact information
Practice address
556 MERRICK RD, ROCKVILLE CENTRE, NY 11570-5487
(516) 255-2044
Mailing address
556 MERRICK RD, ROCKVILLE CENTRE, NY 11570-5487
(516) 255-2044
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
1530671
NY
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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