Individual
DR. PETER S. BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
103 W KINGSBRIDGE RD, BRONX, NY 10468-3902
(718) 432-5555
(718) 548-2399
Mailing address
103 W KINGSBRIDGE RD, BRONX, NY 10468-3902
(718) 432-5555
(718) 548-2399
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT006341
NY
Other
Enumeration date
07/26/2005
Last updated
09/14/2011
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