PECONIC UROLOGY P.C.
Urology at Hicksville Rd, East Massapequa, NY

License number
New York 148353
Category
Radiology
Type
Urology
Owner
Name: DR. ROBERT L MUCCIOLO M.D
Title: PRESIDENT
Phone: (516) 541-5500
Address
Address
20 Hicksville Rd SUITE 3, East Massapequa, NY 11758
National Provider ID: 1003940248
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PECONIC UROLOGY PC

East Massapequa, NY

Doing business as:
Peconic Urology PC - Robert Mucciolo MD
Registration:
Jun 30, 2004
Phone:
(516) 541-5500 (Phone)
Addresses:
20 Hicksville Rd, Massapequa, NY 11758 (Physical)
20 Hicksville Rd / SUITE 3, Massapequa, NY 11758 (Physical)
State ID:
3072891
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Robert Mucciolo, 20 Hicksville Rd / SUITE 3, Massapequa, NY 11758 (Physical)
Categories:
Physicians & Surgeons, Urology Physicians & Surgeons
Payment options:
American Express, Visa

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