person
Stephen Golub, MD
Gynecology Physician in Port Jefferson, New York
NPI 1568520708

Stephen Golub is a Gynecology Physician based in Port Jefferson, NY and is specialized in Gynecology. Stephen Golub practices in Port Jefferson, NY and has the professional credentials of MD. The NPI Number for Stephen Golub is 1568520708 and holds a License No. 142187 (New York).

The current practice location address for Stephen Golub is 118 North Country Road, Port Jefferson, NY and can be reached out via phone at 631-473-7171 and via fax at 631-473-4605.

Location: 118 North Country Road, Port Jefferson, NY, 11777
person
Provider Profile Details
NPI Number
1568520708
Provider Name
Stephen Golub
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
118 North Country Road, Port Jefferson, NY, 11777
Phone Number
631-473-7171
Fax Number
631-473-4605
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1421871 01 NY STATE LIC
1461871 01 NY NYS LICENSE
institution
Provider Business Practice Location Address Details
Address
118 North Country Road
City
State
Zip
11777
Phone Number
631-473-7171
Fax Number
631-473-4605
person
Provider Business Mailing Address Details
Address
118 North Country Road
City
State
Zip
11777
Phone Number
631-473-7171
Fax Number
631-473-4605
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
142187 (New York)
Definition
Definition to come...
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