Individual
MRS. MARINA I PEREDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1047 PARK AVE, NEW YORK, NY 10028
(212) 754-6363
Mailing address
594 VANDERBILT PKWY, DIX HILLS, NY 11746-5527
(631) 697-2068
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1907161
NY
Other
Enumeration date
02/07/2006
Last updated
06/14/2019
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