Peconic Endocrinology, Pc | |
234 Hampton Rd Southampton NY 11968-5028 | |
(631) 369-8539 | |
(631) 369-5613 |
Full Name | Peconic Endocrinology, Pc |
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Speciality | Internal Medicine |
Location | 234 Hampton Rd, Southampton, New York |
Authorized Official Name and Position | Barbara Gredysa (PRESIDENT) |
Authorized Official Contact | 6313698539 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Peconic Endocrinology, Pc 234 Hampton Rd Southampton NY 11968-5028 Ph: (631) 369-8539 | Peconic Endocrinology, Pc 234 Hampton Rd Southampton NY 11968-5028 Ph: (631) 369-8539 |
NPI Number | 1396106860 |
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Provider Enumeration Date | 03/11/2016 |
Last Update Date | 03/11/2016 |
Medicare PECOS PAC ID | 8123327582 |
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Medicare Enrollment ID | O20160506000124 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396106860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 280046 (New York) | Primary |
Provider Name | Barbara Gredysa |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1457678500 PECOS PAC ID: 9032418496 Enrollment ID: I20160506000268 |
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