Organization
PECONIC LANDING AT SOUTHOLD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BARBARA QUINN (CFO)
(631) 477-3800
Entity
Organization
Contact information
Practice address
1500 BRECKNOCK RD, GREENPORT, NY 11944-3117
(631) 477-3800
(631) 477-3900
Mailing address
1500 BRECKNOCK RD, GREENPORT, NY 11944-3117
(631) 477-3800
(631) 477-3900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02410795
—
NY
Enumeration date
08/03/2005
Last updated
12/18/2024
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