Healthcare Provider Details

I. General information

NPI: 1760403422
Provider Name (Legal Business Name): PETER AKOS MIGALY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STATE ROUTE 1014 TORRANCE STATE HOSPITAL
TORRANCE PA
15779
US

IV. Provider business mailing address

PO BOX 237
BLAIRSVILLE PA
15717-0237
US

V. Phone/Fax

Practice location:
  • Phone: 724-459-4510
  • Fax: 724-459-1237
Mailing address:
  • Phone: 724-464-0270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD058211L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: