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PECONIC REGIONAL HEMATOLOGY ONCOLOGY PC NPI 1437361581


NPI Information

NPI: 1437361581
Provider Name: PECONIC REGIONAL HEMATOLOGY ONCOLOGY, PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1149 OLD COUNTRY RD
SUITE C3 & 4
RIVERHEAD, NY
ZIP 11901
Phone: (631) 727-3000
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PECONIC REGIONAL HEMATOLOGY ONCOLOGY, PC is a specialist in Riverhead, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PECONIC REGIONAL HEMATOLOGY ONCOLOGY, PC NPI is 1437361581. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1149 OLD COUNTRY RD
SUITE C3 & 4
RIVERHEAD, NY
ZIP 11901-057
Phone: (631) 727-3000
Fax: (631) 727-2600

The provider's authorized official is Marilyn Angela Mclaughlin .
The authorized official title is President and has the following contact phone number (631) 727-3000.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 5/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist214127NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15513770001MEDICARE NSCNEW YORK
2WEX781MEDICARE PINNEW YORK
3G99236MEDICARE UPINNEW YORK
401981864MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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