Organization
PETER DISTLER, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER M. DISTLER M.D. (OWNER)
(212) 734-3444
Entity
Organization
Contact information
Practice address
3 EAST 83RD STREET, NEW YORK, NY 10028
(212) 734-3444
(212) 734-3444
Mailing address
P.O. BOX 1434, SCARSDALE, NY 10583-9434
(212) 734-3444
(212) 734-0370
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
179238
NY
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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