Individual
DR. PETER W MOLLICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
8223 14TH AVE, BROOKLYN, NY 11228-3113
(718) 236-4231
(718) 852-9155
Mailing address
8223 14TH AVE, BROOKLYN, NY 11228-3113
(718) 236-4231
(718) 852-9155
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003105
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00624502
—
NY
Enumeration date
05/06/2006
Last updated
02/20/2008
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