Individual
PETER Q DYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
273 HAMPTON RD, SOUTHAMPTON, NY 11968-5027
(631) 283-1123
(631) 283-2766
Mailing address
273 HAMPTON RD, SOUTHAMPTON, NY 11968-5027
(631) 283-1123
(631) 283-2766
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003833-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098386
GHI
NY
01
—
10823
VYTRA
NY
01
—
CS614
OXFORD
NY
Enumeration date
02/05/2007
Last updated
11/22/2010
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