# PETER DISTLER, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043548183
- **Authorized official:** DR. PETER M. DISTLER M.D. (OWNER)
- **Authorized official phone:** (212) 734-3444

## Contact information

- **Practice address:** 3 EAST 83RD STREET, NEW YORK, NY 10028
- **Practice address phone:** (212) 734-3444
- **Practice address fax:** (212) 734-3444
- **Mailing address:** P.O. BOX 1434, SCARSDALE, NY 10583-9434
- **Mailing address phone:** (212) 734-3444
- **Mailing address fax:** (212) 734-0370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 179238 | NY | Yes |

## Other

- **Enumeration date:** 12/01/2009
- **Last updated:** 12/01/2009