Organization
PECONIC BAY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR BELLO (PHYSICIAN ASSISTANT)
(631) 926-7792
Entity
Organization
Contact information
Practice address
3 SURREY LN, MANORVILLE, NY 11949
(631) 926-7792
Mailing address
3 SURREY LN, MANORVILLE, NY 11949-2536
(631) 926-7792
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
014617-1
NY
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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