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
1	111N00000X	Chiropractor	X013389-01	NY

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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