EAST END FAMILY PRACTICE NPI 1720120686

NPI Information

NPI: 1720120686
Provider Name: EAST END FAMILY PRACTICE

Doing Business As: PECONIC BAY MEDICAL CENTER

Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
31 MAIN RD
RIVERHEAD, NY
ZIP 11901
Phone: (631) 722-4400
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EAST END FAMILY PRACTICE is a medical physician assistant in Riverhead, NY. EAST END FAMILY PRACTICE NPI is 1720120686. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Peconic Bay Medical Center.

The provider's business location address is:

31 MAIN RD
RIVERHEAD, NY
ZIP 11901-953
Phone: (631) 722-4400
Fax: (631) 722-4426

The provider's authorized official is Nirupa Ramjisingh .
The authorized official title is Physician Assistant and has the following contact phone number (631) 722-4400.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	010331	NEW YORK	Yes

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: 5/5/2024

NPI Synchronization or Removal

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