Organization
PLANNED PAREWNTHOOD HUDSON PECONIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNDA O'HANLON CNM (MANAGER)
(914) 467-7344
Entity
Organization
Contact information
Practice address
70 MAPLE AVE, SMITHTOWN, NY 11787-3502
(631) 361-7526
Mailing address
51 WAVERLY AVE, SMITHTOWN, NY 11787-3426
(631) 360-8410
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
000050
NY
261QA0005X
Ambulatory Family Planning Facility
Primary
230992-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00394752
—
NY
Enumeration date
01/08/2007
Last updated
08/22/2020
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