Individual
DR. PETER G ADRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 KINGSWAYE DR, WILLIAMSVILLE, NY 14221-1703
(716) 208-1825
(716) 304-1605
Mailing address
11 KINGSWAYE DR, WILLIAMSVILLE, NY 14221-1703
(716) 208-1825
(716) 304-1605
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
163675
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020048003
UNIVERA
NY
05
—
01650531
—
NY
01
—
11121387
CAQH UNIVERSAL CREDENTIALING
NY
01
—
INDEPENDENT HEALTH
0490636
NY
Enumeration date
04/18/2006
Last updated
09/27/2011
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