Individual
DR. LOUIS PERALTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14420 29TH AVE, FLUSHING, NY 11354-1331
(718) 460-1681
(718) 463-0633
Mailing address
14420 29TH AVE, FLUSHING, NY 11354-1331
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
195347
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01523275
—
NY
01
—
01579
P10
NY
Enumeration date
09/12/2005
Last updated
07/05/2010
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