Organization · Type 2 NPI

Peconic Ear Nose Throat & Facial Plastic Surgery, PC

Specialist · Aquebogue, NY

NPI number 1841483633 Active

Practice location

292 Shade Tree Lane
Aquebogue, NY 11931

Fax (631) 727-8110

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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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About NPI 1841483633

Peconic Ear Nose Throat & Facial Plastic Surgery, PC's National Provider Identifier is 1841483633, issued on Aug 24, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Aquebogue, NY. The record was last updated on Apr 24, 2008.