COMPREHENSIVE OBSTETRICS & GYNECOLOGY OF LONG ISLAND PLLC NPI 1477595882

NPI Information

COMPREHENSIVE OBSTETRICS & GYNECOLOGY OF LONG ISLAND PLLC is an obstetrics gynecology in West Islip, 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. COMPREHENSIVE OBSTETRICS & GYNECOLOGY OF LONG ISLAND PLLC NPI is 1477595882. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

556 MONTAUK HWY
WEST ISLIP, NY
ZIP 11795-407
Phone: (631) 321-4811
Fax: (631) 321-4814

The provider's authorized official is John J Vullo .
The authorized official title is Physician and has the following contact phone number (631) 321-4811.

The CLIA number assigned to this NPI record is 33D2269482 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 11/21/2014.

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:

Other Identifiers

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