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NPI Code Detail

MEDICARE: DR. JOHN PETER PIEPGRAS PH.D.

MEDICARE:  DR. JOHN PETER PIEPGRAS  PH.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
1103TC0700XClinical Psychologist68017714NY

General Provider Information

NPI Number : 1245546696
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN PETER PIEPGRAS PH.D.
Provider Business Mailing Address
First Line : 3268 MIDDLETOWN RD
Second Line :
City : BRONX
State : NY
Zip : 10465-1040
Country : US
Telephone Number : 646-228-0079
Fax Number :
Provider Business Practice Location Address
First Line : 3268 MIDDLETOWN RD
Second Line :
City : BRONX
State : NY
Zip : 10465-1040
Country : US
Telephone Number : 646-228-0079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2010
Last Update Date : 08/24/2010

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Directions to “ DR. JOHN PETER PIEPGRAS PH.D.” Practice Location

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