Peter, Tessy
Peter, Tessy is an sole proprietor health care provider with primary practice located at 327 Beach 19Th St , Far Rockaway NY 11691-4423. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Peter, Tessy can be contacted via phone (718) 869-8801.Contact Information
Primary practice address
327 Beach 19Th St
Far Rockaway NY 11691-4423
Phone: (718) 869-8801
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 193367-2 | New York |
Profile Details
| NPI number | 1811008691 |
|---|---|
| LBN Legal business name | Peter, Tessy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Oct 2nd, 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 | 1811008691 | NPPES |
| New York | Other | 03263I | GHI MEDICARE PROVIDER ID |
| New York | MEDICAID | 01468799 | GHI MEDICARE PROVIDER ID |
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