Individual
PETER F. PELCZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
164-50 CROSS BAY BOULEVARD, HOWARD BEACH, NY 11414
(718) 848-8412
Mailing address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1113
(516) 622-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
195844-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01491450
—
NY
01
—
725V51
BLUECROSS BLUESHIELD
NY
Enumeration date
12/29/2005
Last updated
07/24/2015
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