Organization
PECONIC PATHOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANJANA MATHUR MD (PRESIDENT)
(800) 326-6222
Entity
Organization
Contact information
Practice address
1300 ROANOKE AVENUE, RIVERHEAD, NY 11901-2058
(800) 326-6222
Mailing address
1900 HEMPSTEAD TPKE, SUITE 500, EAST MEADOW, NY 11554-1724
(516) 542-1090
(516) 794-8165
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
10/02/2014
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