Individual
KELVIN PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
2742A E TREMONT AVE, BRONX, NY 10461-2808
(347) 422-7380
(347) 772-3032
Mailing address
2742A E TREMONT AVE, BRONX, NY 10461-2808
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008422
NY
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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