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Contact Information

PECONIC GASTROENTEROLOGY PC
223 HAMPTON RD
SOUTHAMPTON, NY11968-5027
 Phone: 631-283-0090
 Fax: 631-287-1037
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for PECONIC GASTROENTEROLOGY PC

NPI Number 1740276898
LBN Legal business name PECONIC GASTROENTEROLOGY PC
Authorized official KRISTIN NASO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/23/2005
Last updated 01/06/2010 - About 16 years ago
Identifiers
NY Medicaid 01936089
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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