Organization
PETER CONDAX, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER CONDAX M.D. (PRESIDENT)
(718) 204-5250
Entity
Organization
Contact information
Practice address
2747 CRESCENT ST, STE 202, ASTORIA, NY 11102-3142
(718) 204-5250
(718) 728-4191
Mailing address
2747 CRESCENT ST, STE 202, ASTORIA, NY 11102-3142
(718) 204-5250
(718) 728-4191
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
204160
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02965259
—
NY
Enumeration date
05/30/2007
Last updated
06/22/2009
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