Peralta, Mark F

Peralta, Mark F is an sole proprietor health care provider with primary practice located at 255 Lafayette Ave , Suffern NY 10901-4812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Peralta, Mark F can be contacted via phone (845) 368-5983.

Contact Information

Primary practice address
255 Lafayette Ave Suffern NY 10901-4812
Fax: (845) 368-5989
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 242019 New York

Profile Details

NPI number 1326186651
LBN Legal business name Peralta, Mark F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326186651 NPPES
New York Other 242019 STATE LICENSE

Popular Providers