Organization
PEACHTREE PODIATRY,PLLC
Active
Organization
PEACHTREE PODIATRY,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA LUISA PEACH DPM (OWNER)
(716) 970-4598
Entity
Organization
Contact information
Practice address
45 S GROVE ST APT 1, EAST AURORA, NY 14052-2365
(716) 970-4598
(716) 970-4588
Mailing address
45 S GROVE ST APT 1, EAST AURORA, NY 14052-2365
(716) 970-4598
(716) 970-4588
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
65-006692
NY
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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