Park Avenue Nephrology & Medicine, Pc

NPI 1225389331 - Internal Medicine - 207RN0300X

NPI Details
NPI 1225389331
Enumeration Date 09/28/2012
Last Updated 09/28/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name PETER B PETER
Position PRESIDENT
Phone (718) 820-0120
Fax
Practice Location
7108 PARK AVE
FRESH MEADOWS NY, 11365-4105, US
Phone (718) 820-0120
Fax
Business Location
7108 PARK AVE
FRESH MEADOWS NY, 11365-4105, US
Phone
Fax
Toxanomy
Taxonomy Code 207RN0300X
License State New York
License Number 255487
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According to our database, Park Avenue Nephrology & Medicine, Pc NPI is 1225389331, taxonomy code is 207RN0300X and license number is 255487, license state is located at New York. Park Avenue Nephrology & Medicine, Pc physically located at 7108 Park Ave, Fresh Meadows NY, 11365-4105. NPI Number 1033115704 has the healthcare provider type.

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1225389331 NPI number is provided on an as is basis without warranty of any kind. 1225389331 is maintained by the National Plan & Provider Enumeration System. The contents of Park Avenue Nephrology & Medicine, Pc are for informational purposes only.