Provider Demographics
NPI:1437295391
Name:HERA SAMBAZIOTIS MD MPH & MARTINA FRANDINA MD, OBSTETRICS & GYNECOLGY
Entity Type:Organization
Organization Name:HERA SAMBAZIOTIS MD MPH & MARTINA FRANDINA MD, OBSTETRICS & GYNECOLGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HERA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMBAZIOTIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-437-2020
Mailing Address - Street 1:2800 MARCUS AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LAKE SUCCESS
Mailing Address - State:NY
Mailing Address - Zip Code:11042
Mailing Address - Country:US
Mailing Address - Phone:516-437-2020
Mailing Address - Fax:516-437-2019
Practice Address - Street 1:2800 MARCUS AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:LAKE SUCCESS
Practice Address - State:NY
Practice Address - Zip Code:11042
Practice Address - Country:US
Practice Address - Phone:516-437-2020
Practice Address - Fax:516-437-2019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY228951207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty