Individual
PETER CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E 68TH ST, PAYSON-7, NEW YORK, NY 10065-4870
(212) 746-0421
(212) 746-5812
Mailing address
525 E 68TH ST, PAYSON-7, NEW YORK, NY 10065-4870
(212) 746-0421
(212) 746-5812
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
243565
NY
Other
Enumeration date
03/01/2009
Last updated
12/19/2011
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