Peredo, Marina I

Peredo, Marina I is an sole proprietor health care provider with primary practice located at 1047 Park Ave , New York NY 10028. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Peredo, Marina I can be contacted via phone (212) 754-6363.

Contact Information

Primary practice address
1047 Park Ave New York NY 10028
Phone: (212) 754-6363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 1907161 New York

Profile Details

NPI number 1902878416
LBN Legal business name Peredo, Marina I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2006
Last updated Jun 14th, 2019 - about 6 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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