Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peconic Urology PC

Organization Urology Physician · NPI 1003940248

Peconic Urology PC is an Urology Physician in Massapequa, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Hicksville Rd Ste 3
Massapequa, NY 11758-5819
Phone: (516) 541-5500
Fax: (516) 541-5199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 148353 (NY)

Record details

NPI number1003940248
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Mucciolo — President · (516) 541-5500
NPI enumeratedMarch 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address20 Hicksville Rd, Suite 3, Massapequa, NY 11758-5819

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