300 OLD COUNTRY ROAD MEDICAL PLLC is an obstetrics gynecology in Mineola, 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. 300 OLD COUNTRY ROAD MEDICAL PLLC NPI is 1164935276. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
300 OLD COUNTRY RD STE 201
MINEOLA, NY
ZIP 11501-199
Phone: (516) 702-4924
The provider's authorized official is Lawrence Tydings .
The authorized official title is Medical Director and has the following contact phone number (516) 702-4924.
The enumeration date for this NPI number is 11/10/2017 and was last updated on 11/10/2017.