Organization
PECONIC ANESTHESIOLOGIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY WARD M.D. (PRESIDENT OF P.C.)
(631) 548-6220
Entity
Organization
Contact information
Practice address
1300 ROANOKE AVE, RIVERHEAD, NY 11901-2031
(631) 548-6220
(631) 208-0988
Mailing address
1300 ROANOKE AVE, P.O. BOX 239, RIVERHEAD, NY 11901-2031
(631) 548-6220
(631) 208-0988
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01610508
—
NY
Enumeration date
07/17/2006
Last updated
08/22/2020
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