Individual
DR. RONALD PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 N BROADWAY, WHITE PLAINS, NY 10601-2214
(914) 428-6000
(914) 593-7881
Mailing address
PO BOX 5801, NEW YORK, NY 10087-5801
(914) 593-7880
(914) 593-7881
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
180157
NY
207RC0000X
Cardiovascular Disease Physician
Primary
180157
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01395826
—
NY
01
—
A400040803
MEDICARE PTAN
NY
Enumeration date
05/24/2005
Last updated
05/19/2021
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