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Individual

MR. PETER SCHLOSSBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
622 W 168TH ST, NEW YORK, NY 10032
(212) 305-9335
(212) 305-8626
Mailing address
630 W 168TH ST, MC28 COLUMBIA PRESBYTERIAN RADIOLOGY, NEW YORK, NY 10032
(212) 305-1948
(212) 305-5777

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1435011
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
1435011
NY
2085R0204X
Vascular & Interventional Radiology Physician
ME83378
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01610219
NY
01
02186203
GROUP MEDICAID
NY
01
1467560854
GROUP NPI#
NY
01
W35021
GROUP MEDICARE#
NY
Enumeration date
01/28/2006
Last updated
10/29/2024
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