Individual
PETER SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1149, NEW YORK, NY 10029-6500
(212) 241-0101
(212) 426-5083
Mailing address
1 GUSTAVE L LEVY PL, BOX 1149, NEW YORK, NY 10029-6500
(212) 241-0101
(212) 426-5083
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
211688
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01878922
—
NY
01
—
930072353
RR MEDICARE
NY
Enumeration date
06/08/2006
Last updated
07/26/2012
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