Organization
OAKDALE MEDICAL SERVICES
Active
Parent organization
SOUTHSIDE HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHSIDE HOSPITAL
Authorized official
MS. WINIFRED B. MACK (EXECUTIVE DIRECTOR)
(631) 968-3000
Entity
Organization
Contact information
Practice address
971 MONTAUK HWY, OAKDALE, NY 11769-1434
(631) 675-4149
Mailing address
971 MONTAUK HWY, OAKDALE, NY 11769-1434
(631) 675-4149
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/11/2007
Last updated
10/30/2007
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