# ALEXANDER PERETZ LOCK D.O. P.C.

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

## Provider details

- **NPI number:** 1629526207
- **Authorized official:** DR. ALEXANDER PERETZ LOCK D.O. (OWNER)
- **Authorized official phone:** (917) 678-5281

## Contact information

- **Practice address:** 334 DERBY AVE, WOODMERE, NY 11598-2821
- **Practice address phone:** (917) 678-5281
- **Mailing address:** 334 DERBY AVE, WOODMERE, NY 11598-2821
- **Mailing address phone:** (917) 678-5281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2016
- **Last updated:** 09/15/2016