Individual
DR. PETER L MENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7809 MYRTLE AVE, GLENDALE, NY 11385-7439
(718) 386-1818
(718) 821-1852
Mailing address
7809 MYRTLE AVE, GLENDALE, NY 11385-7439
(718) 386-1818
(718) 821-1852
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
163197
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01101000
—
NY
Enumeration date
08/16/2005
Last updated
01/09/2013
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