| Peconic Gastroenterology Pc | |
|
223 Hampton Rd Southampton NY 11968-5027 | |
| (631) 283-0090 | |
| (631) 287-1037 |
| Full Name | Peconic Gastroenterology Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 223 Hampton Rd, Southampton, New York |
| Authorized Official Name and Position | Kristin Patrick Naso (PRESIDENT) |
| Authorized Official Contact | 6312830090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peconic Gastroenterology Pc 223 Hampton Rd Southampton NY 11968-5027 Ph: (631) 283-0090 | Peconic Gastroenterology Pc 223 Hampton Rd Southampton NY 11968-5027 Ph: (631) 283-0090 |
| NPI Number | 1740276898 |
|---|---|
| Provider Enumeration Date | 09/23/2005 |
| Last Update Date | 01/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740276898 | NPI | - | NPPES |
| 01936089 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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