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Individual

DR. EDWARD STANLEY PINELES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7812 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379-2900
(718) 894-1651
(718) 894-1651
Mailing address
7812 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379-2900
(718) 894-1651
(718) 894-1651

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
127901
NY
207RP1001X
Pulmonary Disease Physician
Primary
127901
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00465114
NY
Enumeration date
12/02/2005
Last updated
08/11/2008
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