Organization
PECONIC GASTROENTEROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN PATRICK NASO D.O. (PRESIDENT)
(631) 283-0090
Entity
Organization
Contact information
Practice address
223 HAMPTON RD, SOUTHAMPTON, NY 11968-5027
(631) 283-0090
(631) 287-1037
Mailing address
223 HAMPTON RD, SOUTHAMPTON, NY 11968-5027
(631) 283-0090
(631) 287-1037
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01936089
—
NY
Enumeration date
09/23/2005
Last updated
01/06/2010
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