Port Jefferson Obgyn PC
NPI #1073689477 in Port Jefferson, New York
Provider Information
- NPI Number
- 1073689477
- Entity Type
- Organization
- Organization Name
- Port Jefferson Obgyn PC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Nov 28, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 640 BELLE TERRE ROAD
- Address 2
- BLDG D
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-1936
- Phone
- (631) 928-0720
Authorized Official
- Name
- PHILIP J MAKOWSKI, MD
- Title
- PARTNER
- Phone
- (631) 928-0720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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