Individual
ANDREW L PEREDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 E MAIN ST STE 6, HUNTINGTON, NY 11743-2845
(631) 424-3600
Mailing address
110 E MAIN ST STE 6, HUNTINGTON, NY 11743-2845
(631) 424-3600
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
280821-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
280821-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
DR.0058741
CO
Other
Enumeration date
03/28/2011
Last updated
07/19/2020
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