Individual
DR. PETER J INGUAGIATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
935 NORTHERN BLVD STE 300, GREAT NECK, NY 11021-5309
(516) 466-9062
(516) 466-9081
Mailing address
935 NORTHERN BLVD STE 300, GREAT NECK, NY 11021-5309
(516) 466-9062
(516) 466-9081
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
122556
NY
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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