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MID NASSAU OB-GYN PLLC NPI 1720707169


NPI Information

NPI: 1720707169
Provider Name: MID NASSAU OB-GYN PLLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 33D2282718

Address:
1130 N BROADWAY STE 120
MASSAPEQUA, NY
ZIP 11758
Phone: (516) 566-0805
Get Directions

MID NASSAU OB-GYN PLLC is an obstetrics gynecology in Massapequa, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MID NASSAU OB-GYN PLLC NPI is 1720707169. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1130 N BROADWAY STE 120
MASSAPEQUA, NY
ZIP 11758-339
Phone: (516) 566-0805
Fax: (516) 566-0875

The provider's authorized official is Mark Neuman .
The authorized official title is Owner and has the following contact phone number (516) 566-0805.

The CLIA number assigned to this NPI record is 33D2282718 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2022 and was last updated on 8/26/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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