Individual
DR. JEREMY DAVID PEYSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
220 RIVERSIDE BLVD, NEW YORK, NY 10069-1001
(212) 769-0866
(904) 369-0866
Mailing address
220 RIVERSIDE BLVD, NEW YORK, NY 10069-1001
(212) 769-0866
(904) 369-0866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039615
NY
Other
Enumeration date
04/18/2008
Last updated
05/28/2008
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