Individual
CHRISTOPHER PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 WATER ST, EMBLEMHEALTH, NEW YORK, NY 10041
(646) 447-7155
Mailing address
55 WATER ST, EMBLEMHEALTH, NEW YORK, NY 10041
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
W48T14
CA
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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