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Organization

PECONIC PATHOLOGY ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANJANA MATHUR M.D. (PRESIDENT)
(516) 248-5245
Entity
Organization

Contact information

Practice address
201 MANOR PL, EASTERN LONG ISLAND HOSPITAL, GREENPORT, NY 11944-1222
(631) 548-6146
(631) 548-6150
Mailing address
160 WENTWORTH AVE, ALBERTSON, NY 11507-1727
(516) 248-5245
(516) 248-7195

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Enumeration date
04/11/2007
Last updated
09/25/2014
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