Individual
DR. IVY D PELTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11 5TH AVE, NEW YORK, NY 10003-4342
(212) 254-7154
Mailing address
11 5TH AVE, NEW YORK, NY 10003-4342
(212) 254-7154
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37708
NY
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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