300 OLD COUNTRY ROAD MEDICAL PLLC – NPI #1164935276
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

300 OLD COUNTRY ROAD MEDICAL PLLC is a provider located in MINEOLA, NY. NPPES has assigned the NPI number 1164935276 to 300 OLD COUNTRY ROAD MEDICAL PLLC on November 10, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 300 OLD COUNTRY ROAD MEDICAL PLLC below.

NPI Profile for
300 OLD COUNTRY ROAD MEDICAL PLLC

NPI Number
1164935276
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
300 OLD COUNTRY ROAD MEDICAL PLLC
Primary location
300 OLD COUNTRY RD STE 201
MINEOLA, NY 11501-4199
Phone: (516) 702-4924 Fax:
Mailing address
1231 MOORES HILL RD
SYOSSET, NY 11791-9631
Phone: Fax:
Organization Subpart
No
Authorized Official
LAWRENCE TYDINGS
MEDICAL DIRECTOR
Phone: (516) 702-4924
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.