institution
J Andrew Fantl Gynecology Pc
Gynecology Physician in Smithtown, New York
NPI 1679653448

J Andrew Fantl Gynecology Pc is a Gynecology Physician based in Smithtown, NY and is specialized in Gynecology. J Andrew Fantl Gynecology Pc practices in Smithtown, NY. The NPI Number for J Andrew Fantl Gynecology Pc is 1679653448 and holds a License No. 1988811 (New York).

The current practice location address for J Andrew Fantl Gynecology Pc is 222 Middle Country Rd, Smithtown, NY and can be reached out via phone at 631-979-2842 and via fax at 631-979-2845. You can also correspond with J Andrew Fantl Gynecology Pc through the mailing address at 222 MIDDLE COUNTRY RD, SMITHTOWN, NY - 11787 (mailing address contact number: 631-979-2842).

Location: 222 Middle Country Rd, Smithtown, NY, 11787
institution
Provider Profile Details
NPI Number
1679653448
Provider Name
J Andrew Fantl Gynecology Pc
Credential
Provider Entity Type
Organization
Address
222 Middle Country Rd, Smithtown, NY, 11787
Phone Number
631-979-2842
Fax Number
631-979-2845
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9658042 01 GHI
5817720 01 CIGNA
665C41 01 BCBS
198881 01 HIP
53073 01 VYTRA
P1935301 01 OXFORD
P62326327 01 MULTIPLAN
AA50860 01 MDNY
institution
Provider Business Practice Location Address Details
Address
222 Middle Country Rd
City
State
Zip
11787
Phone Number
631-979-2842
Fax Number
631-979-2845
person
Provider Business Mailing Address Details
Address
222 Middle Country Rd
City
State
Zip
11787
Phone Number
631-979-2842
Fax Number
631-979-2845
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
1988811 (New York)
Definition
Definition to come...
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