Individual
JOSE ABEL PELAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 AUDUBON AVE, NEW YORK, NY 10032
(212) 342-4700
(212) 342-4725
Mailing address
4051 68TH ST, WOODSIDE, NY 11377-3831
(718) 639-2473
(212) 342-4725
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
130084
NY
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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