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Individual

MR. PETER BUCARO PELOQUIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
160 N MIDLAND AVE, NYACK, NY 10960
(845) 348-2345
Mailing address
160 N MIDLAND AVE, NYACK, NY 10960-1912

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
292519
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/26/2013
Last updated
06/30/2018
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