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Advanced Women'S Obgyn Health Care Of L.I. P.C.

Obstetrics & Gynecology, Obstetrics in Valley Stream, NY. Organization (NPI-2).

NPI number1487833554
StatusActive
Last updated in NPPESDec 7, 2011

Details

NPI
1487833554
Entity type
Organization (NPI-2)
Legal business name
Advanced Women'S Obgyn Health Care Of L.I. P.C.
Organization subpart
No
Enumeration date
Oct 25, 2007
Last updated
Dec 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VX0000X Obstetrics & Gynecology, Obstetrics125595NYYes

Practice location

20 W Lincoln Ave
Suite 101
Valley Stream, NY 11580-5730

Phone 516-825-1885 · Fax 516-568-0356

Mailing address

20 W Lincoln Ave
Suite 101
Valley Stream, NY 11580-5730

Phone 516-825-1885 · Fax 516-568-0356

Authorized official

Maria E Levada
President
5168251885

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