Individual
PETER EBENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 GREENRIDGE AVE, SUITE 204, WHITE PLAINS, NY 10605-1238
(914) 287-0010
(914) 287-0952
Mailing address
12 GREENRIDGE AVE, SUITE 204, WHITE PLAINS, NY 10605-1238
(914) 287-0010
(914) 287-0952
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
131759
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01014722
—
NY
Enumeration date
01/19/2007
Last updated
07/08/2007
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