Healthcare Provider Details

I. General information

NPI: 1801976386
Provider Name (Legal Business Name): PEER DAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 10/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

INSTITUTE FOR WOMEN'S HEALTH 1695 EASTCHESTER ROAD
BRONX NY
10461
US

IV. Provider business mailing address

1695 EASTCHESTER RD L4
BRONX NY
10461-2374
US

V. Phone/Fax

Practice location:
  • Phone: 718-405-8218
  • Fax: 718-405-8024
Mailing address:
  • Phone: 718-405-8218
  • Fax: 718-405-8024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number240271
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number240271
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: