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NPI Code Detail

MEDICARE: DR. PETER SAITTA D.O.

MEDICARE: DR. PETER SAITTA D.O.
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
1207N00000XDermatology Physician264252NY
2207N00000XDermatology Physician5101018475MI

General Provider Information

NPI Number : 1750525341
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER SAITTA D.O.
Provider Business Mailing Address
First Line : 7901 4TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-3972
Country : US
Telephone Number : 718-491-5800
Fax Number : 718-748-2151
Provider Business Practice Location Address
First Line : 7901 4TH AVE
Second Line : MEDICAL EDUCATION SUITE
City : BROOKLYN
State : NY
Zip : 11209-3972
Country : US
Telephone Number : 718-491-5800
Fax Number : 718-748-2151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2009
Last Update Date : 11/19/2015

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