Organization
PECONIC RNFA ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE LESLIE MOORE RNFA (MANAGING PARTNER)
(631) 283-3449
Entity
Organization
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8360
Mailing address
PO BOX 185, HAMPTON BAYS, NY 11946-0105
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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