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Contact Information

PECONIC FAMILY MEDICINE PC
33 MONTAUK HWY
QUOGUE, NY11959-1555
 Phone: 631-653-6000
 Fax: 631-653-8310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PECONIC FAMILY MEDICINE PC

NPI # 1720259914
LBN Legal business name PECONIC FAMILY MEDICINE PC
Authorized official LEWIS ANREDER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/17/2008
Last updated 05/05/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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