Peconic Ophthalmology,Pllc

LBN: Peconic Ophthalmology,Pllc
Peconic Ophthalmology,Pllc is an health care organization with primary practice located at 1228 Roanoke Ave , Riverhead NY 11901-2740. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Peconic Ophthalmology,Pllc can be contacted via phone (631) 727-5265, or through Pizzarello, Louis Donald via phone (631) 283-5152.

Contact Information

Primary practice address
1228 Roanoke Ave Riverhead NY 11901-2740
Phone: (631) 727-5265
Fax: (631) 727-0092
Website:
Map and Directions
Authorized official contact:
Name: Pizzarello, Louis Donald Doctor of Medicine (MD)
Phone: (631) 283-5152

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1043263692
LBN Legal business name Peconic Ophthalmology,Pllc
DBA Doing business as
Authorized official Pizzarello, Louis Donald Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Apr 15th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043263692 NPPES
New York MEDICAID 02407812

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