Peconic Bay Primary Medical Care, Pc in Mattituck - Internal Medicine
Peconic Bay Primary Medical Care, Pc - NPI 1487620613
Peconic Bay Primary Medical Care, Pc is a Internal Medicine in Mattituck, New York. Peconic Bay Primary Medical Care, Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Peconic Bay Primary Medical Care, Pc is 1487620613. The last update date is 2008-07-07.
Peconic Bay Primary Medical Care, Pc's current location address is 13400 Main Rd, Mattituck, New York. You can contact this provider via phone number 6312984479 and fax number 6312984236. The mailing address for Peconic Bay Primary Medical Care, Pc is 13400 Main Rd, Mattituck, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peconic Bay Primary Medical Care, Pc |
|---|---|
| Address | 13400 Main Rd, Mattituck, New York |
| Phone Number | 6312984479 |
| Fax Number | 6312984236 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kubiak Richard |
| Credentials | MD |
| Telephone Number | 6315486000 |
NPI Number Detail
| NPI Number | 1487620613 |
|---|---|
| Provider Enumeration Date | 2006-02-27 |
| Last Updated Date | 2008-07-07 |
Provider Mailing Address Detail
| Address | 13400 Main Rd |
|---|---|
| City | Mattituck |
| State | New York (NY) |
| Post Code | 119523209 |
| Phone Number | 6312984479 |
| Fax Number | 6312984236 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1714209 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Peconic Bay Primary Medical Care, Pc by the Centers for Medicare & Medicaid Services?
The Peconic Bay Primary Medical Care, Pc has been assigned the NPI (National Provider Identifier) 1487620613. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Peconic Bay Primary Medical Care, Pc is physically located?
The Peconic Bay Primary Medical Care, Pc is physically situated at the following address: 13400 Main Rd, Mattituck, NY, 119523209.
What is Peconic Bay Primary Medical Care, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Peconic Bay Primary Medical Care, Pc is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
When did Peconic Bay Primary Medical Care, Pc receive its 1487620613 assignment?
The Peconic Bay Primary Medical Care, Pc was assigned its 1487620613 on 2006-02-27, which is the date when this unique identifier was issued to the organization.
As of what date were the Peconic Bay Primary Medical Care, Pc's details last updated?
The information pertaining to the Peconic Bay Primary Medical Care, Pc, including its address, specialty, and other details, was most recently updated on 2008-07-07.