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General NPI Number Information
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NPI Number | 1801811716
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Entity Type | Individual
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Provider Name | PETER J ZEALE MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 02/05/2008
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Provider Practice Location Address
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Address Line | 275 SEVENTH AVE 3RD FLOOR
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City | NY
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State | NY
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Zip | 10001
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Country | US
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Telephone | 646-660-9998
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Fax | 212-727-7396
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Provider Business Mailing Address
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Address Line | 275 SEVENTH AVE 3RD FLOOR
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City | NY
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State | NY
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Zip | 10001
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Country | US
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Telephone | 646-660-9998
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Fax | 212-727-7396
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 147791
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License Number State | NY
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