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General NPI Number Information
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NPI Number | 1033305362
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Entity Type | Organization
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Legal Business Name | STEVEN PELTZ,M.D.PC
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | 187 VETERANS BLVD SUITE #4
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City | MASSAPEQUA
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State | NY
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Zip | 11758-4982
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Country | US
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Telephone | 516-799-0608
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Fax | 516-799-1927
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Provider Business Mailing Address
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Address Line | 187 VETERANS BLVD SUITE #4
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City | MASSAPEQUA
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State | NY
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Zip | 11758-4982
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Country | US
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Telephone | 516-799-0608
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Fax | 516-799-1927
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Authorized Official
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Title or Position | PHYSICIAN IN CHARGE
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Name | DR. STEVEN ALAN PELTZ
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Credential | M.D.
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Telephone | 516-799-0608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 176064
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License Number State | NY
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