Peconic Urology P.c.

NPI 1003940248 - Urology - 208800000X

NPI Details
NPI 1003940248
Enumeration Date 03/16/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT L ROBERT
Position PRESIDENT
Phone (516) 541-5500
Fax (516) 541-5199
Practice Location
20 HICKSVILLE RD
SUITE 3
MASSAPEQUA NY, 11758-5819, US
Phone (516) 541-5500
Fax (516) 541-5199
Business Location
20 HICKSVILLE RD
SUITE 3
MASSAPEQUA NY, 11758-5819, US
Phone (516) 541-5500
Fax (516) 541-5199
Toxanomy
Taxonomy Code 208800000X
License State New York
License Number 148353
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According to our database, Peconic Urology P.c. NPI is 1003940248, taxonomy code is 208800000X and license number is 148353, license state is located at New York. Peconic Urology P.c. physically located at 20 Hicksville Rd, Massapequa NY, 11758-5819. NPI Number 1033115704 has the healthcare provider type.

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1003940248 NPI number is provided on an as is basis without warranty of any kind. 1003940248 is maintained by the National Plan & Provider Enumeration System. The contents of Peconic Urology P.c. are for informational purposes only.