| NPI | 1043402050 |
|---|---|
| Doing Business As | PECONIC BAY MEDICAL CENTER PROFESSIONAL GROUP PRACTICE |
| Entity Type | Organization |
| Authorized Contact | ANDREW MITCHELL President/CEO 631-548-6064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2015-03-19 |