Individual
PETER STEVEN MIDULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 E 98TH ST, 14TH FL, NEW YORK, NY 10029-6574
(212) 241-1656
(212) 534-2654
Mailing address
5 E 98TH ST, BOX 1259, NEW YORK, NY 10029-6501
(212) 241-1608
(212) 241-5975
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
188585
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01936185
—
NY
Enumeration date
02/27/2006
Last updated
02/06/2013
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