Peconic Ear Nose Throat & Facial Plastic Surgery, Pc in Aquebogue - Specialist

Peconic Ear Nose Throat & Facial Plastic Surgery, Pc - NPI 1841483633

Peconic Ear Nose Throat & Facial Plastic Surgery, Pc is a Specialist in Aquebogue, New York. Peconic Ear Nose Throat & Facial Plastic Surgery, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Peconic Ear Nose Throat & Facial Plastic Surgery, Pc is 1841483633. The last update date is 2008-04-24.

Peconic Ear Nose Throat & Facial Plastic Surgery, Pc's current location address is 292 Shade Tree Lane, Aquebogue, New York. You can contact this provider via phone number 6317278050 and fax number 6317278110. The mailing address for Peconic Ear Nose Throat & Facial Plastic Surgery, Pc is 292 Shade Tree Lane, Aquebogue, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Peconic Ear Nose Throat & Facial Plastic Surgery, Pc
Address 292 Shade Tree Lane, Aquebogue, New York
Phone Number 6317278050
Fax Number 6317278110
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Braat Kevin
Credentials MD
Telephone Number 6317278050

NPI Number Detail

NPI Number 1841483633
Provider Enumeration Date 2007-08-24
Last Updated Date 2008-04-24

Provider Mailing Address Detail

Address 292 Shade Tree Lane
City Aquebogue
State New York (NY)
Post Code 11931
Phone Number 6317278050
Fax Number 6317278110

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
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.

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FAQs about Peconic Ear Nose Throat & Facial Plastic Surgery, Pc

What is the unique 10-digit identifier code assigned to Peconic Ear Nose Throat & Facial Plastic Surgery, Pc by the Centers for Medicare & Medicaid Services?

The Peconic Ear Nose Throat & Facial Plastic Surgery, Pc has been issued the NPI (National Provider Identifier) 1841483633 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Peconic Ear Nose Throat & Facial Plastic Surgery, Pc is geographically located?

The Peconic Ear Nose Throat & Facial Plastic Surgery, Pc is physically situated at the following location: 292 Shade Tree Lane, Aquebogue, NY, 11931.

What is the area of specialization for Peconic Ear Nose Throat & Facial Plastic Surgery, Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Peconic Ear Nose Throat & Facial Plastic Surgery, Pc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did the Peconic Ear Nose Throat & Facial Plastic Surgery, Pc receive its 1841483633 assignment from the Centers for Medicare & Medicaid Services?

The Peconic Ear Nose Throat & Facial Plastic Surgery, Pc was assigned its 1841483633 by the Centers for Medicare & Medicaid Services on 2007-08-24.

When was the information regarding Peconic Ear Nose Throat & Facial Plastic Surgery, Pc most recently updated?

The details pertaining to the Peconic Ear Nose Throat & Facial Plastic Surgery, Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-04-24.

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