Conley, Peter B

Conley, Peter B is an sole proprietor health care provider with primary practice located at 774 Fairmount Ave , Jamestown NY 14701-2609. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Conley, Peter B can be contacted via phone (716) 338-0668.

Contact Information

Primary practice address
774 Fairmount Ave Jamestown NY 14701-2609
Phone: (716) 338-0668
Fax: (866) 694-4979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 007641-1 New York

Profile Details

NPI number 1780980714
LBN Legal business name Conley, Peter B
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2011
Last updated Jan 29th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780980714 NPPES
New York MEDICAID 03774283

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