1. Home
  2. Directory
  3. New York
  4. Mineola
  5. Obstetrics Gynecology
  6. NPI Profile

300 OLD COUNTRY ROAD MEDICAL PLLC
NPI 1164935276
Obstetrics & Gynecology in Mineola, NY

Active since November 10, 2017
300 OLD COUNTRY RD STE 201, MINEOLA, NY 11501(516) 702-4924 Get Directions Write a Review

NPPES record last updated: November 10, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About 300 Old Country Road Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

300 OLD COUNTRY ROAD MEDICAL PLLC (NPI 1164935276) is a healthcare organization registered as an obstetrics & gynecology in Mineola, New York and active in the NPI registry since November 2017. The organization lists Lawrence Tydings, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1164935276
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business Name300 OLD COUNTRY ROAD MEDICAL PLLC
Location Address300 OLD COUNTRY RD STE 201Mineola, NY 11501-4199
Mailing Address1231 Moores Hill RdSyosset, NY 11791-9631
Phone(516) 702-4924
Organization SubpartNo
Authorized OfficialLawrence TydingsMedical Director · (516) 702-4924
Enumeration DateNovember 10, 2017
✔ NPI 1164935276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

300 OLD COUNTRY RD STE 201, Mineola, NY 11501
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

What is 300 OLD COUNTRY ROAD MEDICAL PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1164935276, enumerated as an "organization" on November 10, 2017.

Where is the provider located?

The provider is located at 300 OLD COUNTRY RD STE 201 MINEOLA, NY 11501 and the phone number is (516) 702-4924.

What is the provider's specialty?

Obstetrics & Gynecology with taxonomy code 207V00000X.