Larry Ham OB-GYN, PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

213395 Issued in NY

Legal business name

LARRY HAM OB-GYN, PC

Practice address

176 N Village Ave
Site 1C
Rockville Centre, NY 11570-3800

Phone

(516) 594-1068

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Maryann Vavas

Title

Credentials

Phone

(516) 255-1616

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861521981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 N VILLAGE AVE",
            "address_2": "SITE 1C",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 N VILLAGE AVE",
            "address_2": "SITE 1C",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703800",
            "telephone_number": "516-594-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY HAM OB-GYN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAVAS",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "CREDENTIALS",
        "authorized_official_telephone_number": "516-255-1616"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "213395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Lang
• Lori M Lang, P.T.
• Tiffani-Amber Lee Lange, OTR/L
• Nicole Alexandra Lara
• Tania Larochel, NP
• Larry I. Good, M.D. , P.C.
• Colleen Anne Latva
• Robert Lau, FNP-C
• Laura B. Kestemberg, PH.D., Licensed Psychologist, PLLC
• Elizabeth Law

• Gynecology Physician in Rockville Centre, NY
• Providers in Rockville Centre, 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.