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Contact Information

PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY, PC
292 SHADE TREE LANE
AQUEBOGUE, NY11931
 Phone: 631-727-8050
 Fax: 631-727-8110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY, PC

NPI Number 1841483633
LBN Legal business name PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY, PC
Authorized official KEVIN BRAAT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2007
Last updated 04/24/2008 - About 18 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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