PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY, PC
NPI 1841483633
Specialist in Aquebogue, NY

Active since August 24, 2007
292 SHADE TREE LANE, AQUEBOGUE, NY 11931(631) 727-8050(631) 727-8110 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peconic Ear Nose Throat & Facial Plastic Surgery, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY, PC (NPI 1841483633) is a healthcare organization registered as a specialist in Aquebogue, New York and active in the NPI registry since August 2007. The organization lists Kevin Braat, President, as its authorized official.

NPPES Registry Identity

NPI1841483633
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePECONIC EAR NOSE THROAT & FACIAL PLASTIC SURGERY, PC
Location Address292 SHADE TREE LANEAquebogue, NY 11931
Mailing Address292 Shade Tree Lane, Po Box 2668Aquebogue, NY 11931 · (631) 727-8050 · Fax (631) 727-8110
Fax(631) 727-8110
Organization SubpartNo
Authorized OfficialKevin BraatPresident · (631) 727-8050
Enumeration DateAugust 24, 2007
Last NPPES UpdateApril 24, 2008
NPI 1841483633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
292 SHADE TREE LANE, Aquebogue, NY 11931

Other Identifiers 1

Medicare PINWGW251NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist
292 SHADE TREE LANE
AQUEBOGUE, NY 11931

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peconic Ear Nose Throat & Facial Plastic Surgery, PC's NPI number?

The NPI number for Peconic Ear Nose Throat & Facial Plastic Surgery, PC is 1841483633. It was assigned to this organization in the NPPES registry on August 24, 2007.

Where is Peconic Ear Nose Throat & Facial Plastic Surgery, PC located?

Peconic Ear Nose Throat & Facial Plastic Surgery, PC is located at 292 Shade Tree Lane, Aquebogue, NY 11931. The listed phone number is (631) 727-8050.

What is Peconic Ear Nose Throat & Facial Plastic Surgery, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Peconic Ear Nose Throat & Facial Plastic Surgery, PC was last updated on April 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.