Individual
PETER DANIEL CANOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
622 W 168TH ST, PH 1564W, NEW YORK, NY 10032-3720
(212) 305-7399
Mailing address
622 W 168TH ST, PH 1564W, NEW YORK, NY 10032-3720
(212) 305-7399
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
218045-1
NY
207ZP0101X
Anatomic Pathology Physician
Primary
218045-1
NY
Other
Enumeration date
02/27/2007
Last updated
09/11/2025
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