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Individual

MS. MARIA E LOCKHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
320 MONTAUK HIGHWAY, SOUTH BAY OBGYN PC, WEST ISLIP, NY 11795-4401
(631) 587-2500
(631) 587-0292
Mailing address
45 RESEARCH WAY SUITES 204B, UNIVERSITY ASSOCIATES OBGYN, EAST ISLIP, NY 11733
(631) 615-8279
(631) 350-7200

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2060351
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01924510
NY
01
42G631
BCBS
NY
01
P704534
OXFORD
NY
Enumeration date
08/31/2006
Last updated
02/23/2016
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