PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY, PC is a specialist in Aquebogue, 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 EAR NOSE THROAT & FACIAL PLASTIC SURGERY, PC NPI is 1841483633. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
292 SHADE TREE LANE
AQUEBOGUE, NY
ZIP 11931
Phone: (631) 727-8050
Fax: (631) 727-8110
The provider's authorized official is Kevin Braat .
The authorized official title is President and has the following contact phone number (631) 727-8050.
The enumeration date for this NPI number is 8/24/2007 and was last updated on 4/24/2008.