Individual
ANDREW PERETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
664 STONELEIGH AVE STE 300, CARMEL, NY 10512-3990
(845) 278-8400
(845) 278-4326
Mailing address
664 STONELEIGH AVE STE 300, CARMEL, NY 10512-3990
(845) 278-8400
(845) 278-4326
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
187662
NY
174400000X
Specialist
55898
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200045544
RAILROAD MEDICARE
NY
01
—
4682510001
MEDICARE
NY
01
—
P00017565
RAILROAD MEDICARE
NY
Enumeration date
07/07/2006
Last updated
02/07/2019
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