300 Old Country Road Medical Pllc
NPI #1164935276 in Mineola, New York
Provider Information
- NPI Number
- 1164935276
- Entity Type
- Organization
- Organization Name
- 300 Old Country Road Medical Pllc
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Nov 10, 2017
- Last Updated
- Nov 10, 2017
Practice Location
Authorized Official
- Name
- DR. LAWRENCE TYDINGS, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (516) 702-4924
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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