Peconic Bay Primary Medical Care

NPI #1487620613 in Mattituck, New York

Provider Information

NPI Number: 1487620613
Entity Type: Organization
Organization Name: Peconic Bay Primary Medical Care
Primary Specialty: Internal Medicine
Enumeration Date: Feb 27, 2006
Last Updated: May 20, 2024

Practice Location

Address: 13400 MAIN RD
City: Mattituck
State: New York
ZIP Code: 11952-3209
Phone: (631) 298-4008

Authorized Official

Name: MICHAEL O'DONNELL
Title: CFO
Phone: (631) 298-4479

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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