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

South Shore Womens Care PLLC

Organization Obstetrics & Gynecology Physician · NPI 1174190326

South Shore Womens Care PLLC is an Obstetrics & Gynecology Physician in West Islip, New York. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

750 Montauk Hwy
West Islip, NY 11795-4411
Phone: (347) 523-0054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 57 W Sunrise Hwy, Lindenhurst, NY 11757-2421 — (347) 523-0054

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1174190326
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larissa Fomitcheva — President · (347) 523-0054
NPI enumeratedJune 7, 2021
Last updated in NPPESJune 7, 2021
Certification dateJune 7, 2021
Mailing address21 Cobblers Ln, Dix Hills, NY 11746-5020

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