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NPI Code Detail

MEDICARE: GERALD PEKLER M.D.

MEDICARE:   GERALD  PEKLER  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
1207RC0000XCardiovascular Disease Physician144419NY

Other Identifiers

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

General Provider Information

NPI Number : 1720090673
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALD PEKLER M.D.
Provider Business Mailing Address
First Line : 12510 QUEENS BLVD
Second Line : SUITE 2701
City : KEW GARDENS
State : NY
Zip : 11415-1519
Country : US
Telephone Number : 718-261-0444
Fax Number : 718-261-0940
Provider Business Practice Location Address
First Line : 12510 QUEENS BLVD
Second Line : SUITE 2701
City : KEW GARDENS
State : NY
Zip : 11415-1519
Country : US
Telephone Number : 718-261-0444
Fax Number : 718-261-0940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 01/06/2010

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