# PECONIC GASTROENTEROLOGY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740276898
- **Authorized official:** DR. KRISTIN PATRICK NASO D.O. (PRESIDENT)
- **Authorized official phone:** (631) 283-0090

## Contact information

- **Practice address:** 223 HAMPTON RD, SOUTHAMPTON, NY 11968-5027
- **Practice address phone:** (631) 283-0090
- **Practice address fax:** (631) 287-1037
- **Mailing address:** 223 HAMPTON RD, SOUTHAMPTON, NY 11968-5027
- **Mailing address phone:** (631) 283-0090
- **Mailing address fax:** (631) 287-1037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2005
- **Last updated:** 01/06/2010
