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NPI Code Detail

MEDICARE: PETER AHN DC

MEDICARE:   PETER  AHN  DC
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
1111N00000XChiropractorX013389-01NY

General Provider Information

NPI Number : 1336748847
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER AHN DC
Provider Business Mailing Address
First Line : 56A MOTOR AVE
Second Line :
City : FARMINGDALE
State : NY
Zip : 11735-4038
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21950 74TH AVE FL 2
Second Line :
City : OAKLAND GARDENS
State : NY
Zip : 11364-3032
Country : US
Telephone Number : 518-763-6790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2020
Last Update Date : 08/27/2025

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Directions to “ PETER AHN DC” Practice Location

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