SOUTH FORK GYNECOLOGY (NPI# 1295911741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295911741 |
| Entity Type | Organization |
| Organization Name | SOUTH FORK GYNECOLOGY |
| Practice Address |
200 Pantigo Place Suite D East Hampton NY 11937 |
| Practice Telephone | 6313296500 |
| Practice Fax Number | 6313297832 |
| Mailing Telephone | 6313296500 |
| Mailing Fax Number | 6313297832 |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |
| Authorized Official Name | DR. LOUISE M COLLINS (PRESIDENT PHYSICIAN) |
| Authorized Official Telephone | 6313296500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
221321 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
200 PANTIGO PLACE SUITE D |
| City | EAST HAMPTON |
| State | NY |
| Zip Code | 11937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952472367 | Joanne Ryan | Nurse Practitioner | 200 Pantigo Place, Suite I, East Hampton, NY 11937 | 2006-11-10 |
| 1841368503 | Antony Perry | Pediatrics | 200 Pantigo Place, Suite E, East Hampton, NY 11937-5921 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568933588 | Janis Susan Dimonaco | Social Worker | 32 Hamden St, Springfield, MA 11937 | 2018-12-17 |
| 1922542851 | William Collins | Physical Therapist | 158 Cedar Street, East Hampton, NY 11937 | 2016-12-12 |
| 1194108977 | Jennifer Lynn Favre | Pediatrics | 200 Pantigo Pl Ste E, East Hampton, NY 11937 | 2015-06-30 |
| 1336551654 | Sue B. Avedon | Psychologist | 174 Buckskill Rd., East Hampton, NY 11937 | 2014-05-21 |
| 1447694203 | Aldo Oscar Perotto | Physical Medicine & Rehabilitation | 1108 Springs Fireplace Rd., East Hampton, NY 11937 | 2013-04-24 |
| 1700150497 | Shlomo Piontkowski | Orthopaedic Surgery | 7 Amys Lane, East Hampton, NY 11937 | 2012-02-28 |
| 1881965903 | William Mahoney | Surgery | 15 Eileen's Path, Box 2738, East Hampton, NY 11937 | 2012-01-20 |
| 1003186180 | Edward Wagman | Pathology | 39 Isle of Wight Road, East Hampton, NY 11937 | 2012-01-06 |
| 1891096012 | Raymond Medler | Internal Medicine | 76 Meadow Way, East Hampton, NY 11937 | 2010-11-04 |
| 1356534002 | Edyle Obrien | Social Worker | 16 Diane Drive, East Hampton, NY 11937 | 2007-08-24 |
| Find all providers in zip 11937 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370975 | Legacy Gynecology Pllc | Obstetrics & Gynecology | 136 Maple Rd, Amherst, NY 14221-2922 | 2020-09-11 |
| 1700494143 | Neighborhood Family Medicine | Obstetrics & Gynecology | 50 Front St, Binghamton, NY 13905-4708 | 2020-07-22 |
| 1467070029 | Electra Health Medical PC | Obstetrics & Gynecology | 335 Madison Ave Fl 3, New York, NY 10017-4616 | 2020-07-10 |
| 1164048021 | Park East Medical Pllc | Obstetrics & Gynecology | 870 5th Ave Apt 1b, New York, NY 10065-4907 | 2020-06-17 |
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1861955858 | New H Medical, P.C. | Obstetrics & Gynecology | 1150 Park Ave Ste 1a, New York, NY 10128-1244 | 2019-04-08 |
| 1851857379 | Broadway Gyn Office, P.c | Obstetrics & Gynecology | 4915 Broadway # 1-k, New York, NY 10034-3119 | 2019-02-20 |
| 1841755063 | Elizabeth Anne Mancuso | Obstetrics & Gynecology | 3 E 69th St, New York, NY 10021-5249 | 2019-02-01 |
| 1699239251 | Gynecology and Integrative Women's Care | Obstetrics & Gynecology | 30 E 23rd St Fl 7, New York, NY 10010-4440 | 2019-01-29 |
| 1699248542 | Great Wall Medical, P.C. | Obstetrics & Gynecology | 201e 28th Street, Suite #1b, New York, NY 10016 | 2019-01-03 |
| Find all providers with the same taxonomy | ||||
| City | EAST HAMPTON |
| Zip Code | 11937 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.