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Organization
PECONIC REGIONAL HEMATOLOGY ONCOLOGY, PC
Active
Organization
PECONIC REGIONAL HEMATOLOGY ONCOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN ANGELA MCLAUGHLIN M.D. (PRESIDENT)
(631) 727-3000
Entity
Organization
Contact information
Practice address
1149 OLD COUNTRY RD, SUITE C3 & 4, RIVERHEAD, NY 11901-2057
(631) 727-3000
(631) 727-2600
Mailing address
1149 OLD COUNTRY RD, SUITE C3 & 4, RIVERHEAD, NY 11901-2057
(631) 727-3000
(631) 727-2600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
214127
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01981864
—
NY
Enumeration date
05/03/2007
Last updated
05/17/2012
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