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Organization

PENINSULA MEDICAL SERVICES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER GALVIN (DIRECTOR)
(718) 734-2700
Entity
Organization

Contact information

Practice address
5115 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1042
(718) 734-2700
Mailing address
407 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5288

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
NY
207Q00000X
Family Medicine Physician
NY
207R00000X
Internal Medicine Physician
NY
207VG0400X
Gynecology Physician
NY
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
NY
207ZP0101X
Anatomic Pathology Physician
NY
208000000X
Pediatrics Physician
NY
208600000X
Surgery Physician
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01759719
NY
Enumeration date
04/24/2007
Last updated
09/11/2025
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