Individual
ALBERT PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
30-38 70TH STREET APT #3, EAST ELMHURST, NY 11370
(347) 924-5566
Mailing address
30-38 70TH STREET APT #3, EAST ELMHURST, NY 11370
(347) 924-5566
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008648
NY
Other
Enumeration date
01/17/2017
Last updated
02/14/2019
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