Individual
DAVID PEAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 JOHN PAUL CT, BUFFALO, NY 14206-1767
(716) 715-0182
Mailing address
19 JOHN PAUL CT, BUFFALO, NY 14206-1767
(716) 715-0182
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
646222266
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05114407
—
NY
Enumeration date
06/08/2022
Last updated
06/08/2022
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