South Fork Gynecology
NPI #1295911741 in East Hampton, New York
Provider Information
- NPI Number
- 1295911741
- Entity Type
- Organization
- Organization Name
- South Fork Gynecology
- Primary Specialty
- Obstetrics & Gynecology - Gynecology
- Enumeration Date
- Jan 15, 2008
- Last Updated
- Jan 15, 2008
Practice Location
- Address
- 200 PANTIGO PLACE
- Address 2
- SUITE D
- City
- East Hampton
- State
- New York
- ZIP Code
- 11937
- Phone
- (631) 329-6500
Authorized Official
- Name
- DR. LOUISE M COLLINS, MD
- Title
- PRESIDENT PHYSICIAN
- Phone
- (631) 329-6500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Gynecology — Gynecology |
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