J Andrew Fantl Gynecology PC
J Andrew Fantl Gynecology PC provides Gynecology Physician services in Smithtown, New York. Licensed in New York. Registered with an NPI since 2006.
- Licensed in
- NY
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
222 Middle Country Rd Ste 203Smithtown, NY 11787 Not confirmed with CMS for 18 years — call before visiting
Phone: (631) 979-2842
Fax: (631) 979-2845
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gynecology Physician (primary) | Taxonomy 207VG0400X · Licence 1988811 (NY) |
|---|
Record details
| NPI number | 1679653448 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Fantl — Doctor President · (631) 979-2842 |
| NPI enumerated | October 16, 2006 |
| Last updated in NPPES | May 13, 2008 |
| Mailing address | 222 Middle Country Rd, Suite 203, Smithtown, NY 11787 |
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Dr. Charles T Mann, MD
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Dr. Morisa J Marin, MD
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Dr. David Michael Shobin, MD
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