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Individual

DR. PETER TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9488
(718) 226-8132
Mailing address
420 E 72ND ST, 20F, NEW YORK, NY 10021-4650
(718) 226-1013
(718) 226-1039

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
202169
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
202169
NY
207RP1001X
Pulmonary Disease Physician
202169
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02219423
NY
Enumeration date
12/05/2005
Last updated
09/06/2007
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