Peralta Primary Care P.c. | |
4310 52nd St Dahon Wellness Center Woodside NY 11377-4542 | |
(718) 255-6229 | |
(718) 255-1288 |
Full Name | Peralta Primary Care P.c. |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 4310 52nd St, Woodside, New York |
Authorized Official Name and Position | Mark Factura Peralta (OWNER) |
Authorized Official Contact | 6466754671 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peralta Primary Care P.c. 30 Crescent Pl Yonkers NY 10704-2516 Ph: (914) 803-1151 | Peralta Primary Care P.c. 4310 52nd St Dahon Wellness Center Woodside NY 11377-4542 Ph: (718) 255-6229 |
NPI Number | 1578991089 |
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Provider Enumeration Date | 10/18/2013 |
Last Update Date | 10/18/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578991089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 242019 (New York) | Primary |
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