Individual
DR. ANJELICA PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
214 SULLIVAN ST, NEW YORK, NY 10012-1354
(212) 385-3700
Mailing address
214 SULLIVAN ST, NEW YORK, NY 10012-1354
(212) 385-3700
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
330446
NY
208D00000X
General Practice Physician
35.142051
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
02/05/2026
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