Gynecologic Specialists of Long Island LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

GYNECOLOGIC SPECIALISTS OF LONG ISLAND LLC

Practice address

300 Old Country Rd
Suite 201
Mineola, NY 11501

Phone

(516) 747-4406

Fax

(516) 747-4456

NPI assigned

Apr 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Terry Spectur

Title

Administrator

Phone

(516) 433-5018

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154546653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N BROADWAY",
            "address_2": "SUITE LL2",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "11753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD COUNTRY RD",
            "address_2": "SUITE 201",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-747-4406",
            "fax_number": "516-747-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGIC SPECIALISTS OF LONG ISLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPECTUR",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-433-5018"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mala Gupta, M.D., F.I.A.C.
• Sujata Gupta, M.D.
• Diane J Gutman, LCSW
• Ciara De Jesus Guzman, MD
• Casey Chai Gyi, M.D.
• Jonathan A Haas, MD
• Kristina Habermann, M.S., C.G.C.
• Chris Hachmann, LMHC
• Dany Haddad, MD
• Amanda Hafeez, M.D.

• Gynecology Physician in Mineola, NY
• Providers in Mineola, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.