NPI 1003940248

Peconic Urology P.C.

Organisation Urology Physician Massapequa, NY

Practice location

Address: 20 Hicksville Rd Suite 3, Massapequa, NY 11758-5819
Phone: (516) 541-5500
Fax: (516) 541-5199

Authorised official

Name: Robert L Mucciolo
Title: President
Phone: (516) 541-5500

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 148353 (NY)

Other Urology providers in New York →

Registry record

NPI: 1003940248
Entity type: Organization
NPI issued: 16 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.