Distler, Peter M
Distler, Peter M is an sole proprietor health care provider with primary practice located at 3 E 83Rd St , New York NY 10028-0459. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Distler, Peter M can be contacted via phone (212) 734-3444.Contact Information
Primary practice address
3 E 83Rd St
New York NY 10028-0459
Phone: (212) 734-3444
Fax: (212) 734-0370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 179238 | New York |
Profile Details
| NPI number | 1548231160 |
|---|---|
| LBN Legal business name | Distler, Peter M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Aug 30th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548231160 | NPPES |
| New York | MEDICAID | 01476195 |
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