Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

South Nassau Obstetrics & Gynecology, PC

Organization Gynecology Physician · NPI 1043570286

South Nassau Obstetrics & Gynecology, PC is a Gynecology Physician in Valley Stream, New York. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 S Central Ave
Valley Stream, NY 11580-5443
Phone: (516) 632-3350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X

Record details

NPI number1043570286
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouth Nassau Communities Hospital
Authorized official Mark Bogen — Cfo · (516) 632-3965
NPI enumeratedMay 22, 2012
Last updated in NPPESMarch 25, 2015
Mailing address1 Healthy Way, Oceanside, NY 11572-1551

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