Organization
WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
Active
Other names
Women's Contemporary Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D AMMAZZALORSO M.D. (CO-PRESIDENT)
(516) 663-8209
Entity
Organization
Contact information
Practice address
120 MINEOLA BLVD, SUITE 100, MINEOLA, NY 11501-4064
(516) 663-3018
(516) 663-9755
Mailing address
700 HICKSVILLE RD, SUITE 204, BETHPAGE, NY 11714-3471
(516) 576-6106
(516) 576-5801
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
Other
Enumeration date
10/07/2014
Last updated
10/10/2014
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