Individual
DR. PETER KEYES SCULCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1771
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(212) 606-1771
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
261863
NY
Other
Enumeration date
10/20/2009
Last updated
12/31/2020
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