Individual
DR. GREGORY H PELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
617 W END AVE, SUITE 1B, NEW YORK, NY 10024-1607
(212) 579-0339
Mailing address
7119 CHARLES SPRING WAY, TOWSON, MD 21204-3735
(212) 543-5957
(212) 543-5088
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
207365
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P2531511
OXFORD PROVIDER
NY
Enumeration date
02/28/2007
Last updated
07/08/2007
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