South Shore Womens Care Pllc

LBN: South Shore Womens Care Pllc
South Shore Womens Care Pllc is an health care organization with primary practice located at 750 Montauk Hwy , West Islip NY 11795-4411. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. South Shore Womens Care Pllc can be contacted via phone (347) 523-0054, or through Fomitcheva, Larissa via phone (347) 523-0054.

Contact Information

Primary practice address
750 Montauk Hwy West Islip NY 11795-4411
Phone: (347) 523-0054
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fomitcheva, Larissa Doctor of Medicine (MD)
Phone: (347) 523-0054

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1174190326
LBN Legal business name South Shore Womens Care Pllc
DBA Doing business as
Authorized official Fomitcheva, Larissa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2021
Last updated Jun 7th, 2021 - about 4 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 1174190326 NPPES
New York MEDICAID 02834742

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