Larry Ham Ob-Gyn, PC
Obstetrics & Gynecology, Gynecology in Rockville Centre, NY. Organization (NPI-2).
NPI number1861521981
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1861521981
- Entity type
- Organization (NPI-2)
- Legal business name
- Larry Ham Ob-Gyn, PC
- Organization subpart
- No
- Enumeration date
- Mar 5, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | 213395 | NY | Yes |
Practice location
176 N Village AveSite 1c
Rockville Centre, NY 11570-3800
Phone 516-594-1068
Mailing address
176 N Village AveSite 1c
Rockville Centre, NY 11570-3800
Authorized official
Maryann Vavas
Credentials
5162551616
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