Individual
DR. ABRAHAM PELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 741-0570
(516) 741-8276
Mailing address
216 1ST ST, MINEOLA, NY 11501-3901
(516) 741-0570
(516) 741-8276
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
196812-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01827169
—
NY
Enumeration date
02/07/2006
Last updated
09/19/2022
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