J Andrew Fantl Gynecology Pc

LBN: J Andrew Fantl Gynecology Pc
J Andrew Fantl Gynecology Pc is an health care organization with primary practice located at 222 Middle Country Rd Suite 203, Smithtown NY 11787. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty. J Andrew Fantl Gynecology Pc can be contacted via phone (631) 979-2842, or through Fantl, John Andrew via phone (631) 979-2842.

Contact Information

Primary practice address
222 Middle Country Rd Suite 203 Smithtown NY 11787
Phone: (631) 979-2842
Fax: (631) 979-2845
Website:
Map and Directions
Authorized official contact:
Name: Fantl, John Andrew Doctor of Medicine (MD)
Phone: (631) 979-2842

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 1988811 New York

Profile Details

NPI number 1679653448
LBN Legal business name J Andrew Fantl Gynecology Pc
DBA Doing business as
Authorized official Fantl, John Andrew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2006
Last updated May 13th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679653448 NPPES
Other 9658042 GHI
Other 5817720 GHI
Other 665C41 GHI
Other 198881 GHI
Other 53073 GHI
Other P1935301 GHI
Other P62326327 GHI
Other AA50860 GHI

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