| NPI | 1841637741 |
|---|---|
| Doing Business As | PECONIC BAY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL O'DONNELL Senior VP Finance/CFO 631-548-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2016-08-31 |