Organization
MID ISLAND GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDI AURIGEMMA (OFFICE MANAGER)
(516) 513-1184
Entity
Organization
Contact information
Practice address
4212 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5723
(516) 513-1184
(516) 513-1187
Mailing address
4212 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5723
(516) 513-1184
(516) 513-1187
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
131615
NY
Other
Enumeration date
10/02/2007
Last updated
12/07/2007
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