Individual
DR. PELTON PHINIZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3959 BROADWAY AVE., PEDIATRIC PULMONARY DIVISION 7TH FLOOR, NEW YORK, NY 10032-3725
(212) 305-5122
Mailing address
3959 BROADWAY AVE., PEDIATRIC PULMONARY DIVISION 7TH FLOOR, NEW YORK, NY 10032-3725
(212) 305-5122
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
270687
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2010
Last updated
08/08/2013
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