Organization
ISLAND MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNG OH MD (OWNER)
(631) 224-4811
Entity
Organization
Contact information
Practice address
2330 UNION BLVD, SUITE 1, ISLIP, NY 11751-3172
(631) 224-4811
Mailing address
2330 UNION BLVD, SUITE 1, ISLIP, NY 11751-3172
(631) 224-4811
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
143070
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A64215
MC UPIN DR OH
NY
Enumeration date
02/10/2010
Last updated
02/10/2010
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