# PENINSULA HOSPITAL CENTER

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

## Provider details

- **NPI number:** 1154538346
- **Authorized official:** GERALD TEPLITZ D.O. (DERECTOR OF MEDICAL EDUCATION)
- **Authorized official phone:** (718) 734-3020

## Contact information

- **Practice address:** 5115 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1042
- **Practice address phone:** (718) 743-2000
- **Mailing address:** 100 W 93RD ST., APT. 16C, NEW YORK, NY 10025
- **Mailing address phone:** (212) 864-0970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 282N00000X | General Acute Care Hospital | — | NULL | — |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 09/11/2025