Organization
SOUTH NASSAU COMMUNITIES HOSPITAL-SURGICAL ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH WISNOSKI (VICE-PRESIDENT -FINANCE)
(516) 632-3681
Entity
Organization
Contact information
Practice address
1 HEALTHY WAY, BREAST GYN CENTER, OCEANSIDE, NY 11572-1551
(516) 632-3573
Mailing address
1 HEALTHY WAY, BREAST GYN CENTER, OCEANSIDE, NY 11572-1551
(516) 632-3573
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200879
NY
Other
Enumeration date
05/16/2007
Last updated
02/29/2008
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