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NPI Code Detail

MEDICARE: ANDREW PERETZ MD

MEDICARE:   ANDREW  PERETZ  MD
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
1174400000XSpecialist55898CT
2174400000XSpecialist187662NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14682510001OTHERNYMEDICARE
2P00017565OTHERNYRAILROAD MEDICARE
3200045544OTHERNYRAILROAD MEDICARE

General Provider Information

NPI Number : 1598798431
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW PERETZ MD
Provider Business Mailing Address
First Line : 664 STONELEIGH AVE STE 300
Second Line :
City : CARMEL
State : NY
Zip : 10512-3990
Country : US
Telephone Number : 845-278-8400
Fax Number : 845-278-4326
Provider Business Practice Location Address
First Line : 664 STONELEIGH AVE STE 300
Second Line :
City : CARMEL
State : NY
Zip : 10512-3990
Country : US
Telephone Number : 845-278-8400
Fax Number : 845-278-4326
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 02/07/2019

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Directions to “ ANDREW PERETZ MD” Practice Location

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