Individual
DR. PETER CONDAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2747 CRESCENT ST, SUITE 202, ASTORIA, NY 11102-3142
(718) 204-5250
(718) 728-4191
Mailing address
2747 CRESCENT ST, SUITE 202, ASTORIA, NY 11102-3142
(718) 204-5250
(718) 728-4191
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
204160
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
204160
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01976585
—
NY
Enumeration date
03/31/2006
Last updated
04/22/2021
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