Individual
PETER CORONEL PASTOLERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
439 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1714
(718) 924-2254
Mailing address
439 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1714
(718) 924-2254
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
300330
NY
Other
Enumeration date
07/06/2016
Last updated
07/28/2022
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