Organization
JAMES J PETERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALIDA A HERNANDEZ NP (REGISTERED NURSE)
(718) 584-9000
Entity
Organization
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
(719) 741-4665
Mailing address
5736 POST ROAD, BRONX, NY 10471
(718) 796-1243
(718) 543-5115
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
F3336291
NY
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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