MEDICARE: DR. PETER CONDAX M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0107X	Retina Specialist (Ophthalmology) Physician	204160	NY
2	207W00000X	Ophthalmology Physician	204160	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033170675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER CONDAX M.D.

Provider Business Mailing Address
First Line	:	2747 CRESCENT ST
Second Line	:	SUITE 202
City	:	ASTORIA
State	:	NY
Zip	:	11102-3142
Country	:	US
Telephone Number	:	718-204-5250
Fax Number	:	718-728-4191

Provider Business Practice Location Address
First Line	:	2747 CRESCENT ST
Second Line	:	SUITE 202
City	:	ASTORIA
State	:	NY
Zip	:	11102-3142
Country	:	US
Telephone Number	:	718-204-5250
Fax Number	:	718-728-4191

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	04/22/2021

Similar Medicare Providers

1376540021 — DR. THOMAS K BARLIS DPM
Practice Location Address:

2747 CRESCENT ST , SUITE 204
ASTORIA, NY
11102-3142

Practice Phone: 718-956-0700
Practice Fax: 718-956-4582

1881664456 — DR. ANDREAS COSMATOS MD
Practice Location Address:

2747 CRESCENT ST , SUITE 201
ASTORIA, NY
11102-3142

Practice Phone: 718-726-0133
Practice Fax: 718-726-7385

1790726370 — DR. STEPHANIE ILENE HOCHMAN DPM
Practice Location Address:

2747 CRESCENT ST
ASTORIA, NY
11102-3142

Practice Phone: 718-956-0700
Practice Fax: 718-956-4582

1508874785 — DR. FLORENTIA CHRISTODOULIDOU M.D.
Practice Location Address:

2747 CRESCENT ST , SUITE 201
ASTORIA, NY
11102-3142

Practice Phone: 718-932-3100
Practice Fax: 718-726-7385

1518060862 — DR. JIMMY KATECHIS M.D.
Practice Location Address:

2747 CRESCENT ST STE 104
ASTORIA, NY
11102-3142

Practice Phone: 718-204-7550
Practice Fax: 718-204-7566

1609971407 — PERICLES M SPYROPOULOS M.D.
Practice Location Address:

2747 CRESCENT ST , SUITE 104
ASTORIA, NY
11102-3142

Practice Phone: 718-777-7236
Practice Fax:

Directions to “ DR. PETER CONDAX M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.