Organization
PECONIC BAY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE E RUGGIERO D.O. (DIRECTOR MEDICAL EDUCATION)
(631) 548-6446
Entity
Organization
Contact information
Practice address
1300 ROANOKE AVE, RIVERHEAD, NY 11901-2031
(631) 548-6446
Mailing address
54 FRANCESCA LN, STATEN ISLAND, NY 10303-2101
(917) 692-5604
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
NY
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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