Condax, Peter

Condax, Peter is an individual health care provider with primary practice located at 2747 Crescent St Suite 202, Astoria NY 11102-3142. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Condax, Peter can be contacted via phone (718) 204-5250.

Contact Information

Primary practice address
2747 Crescent St Suite 202 Astoria NY 11102-3142
Phone: (718) 204-5250
Fax: (718) 728-4191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 204160 New York
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 204160 New York

Profile Details

NPI number 1033170675
LBN Legal business name Condax, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Apr 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033170675 NPPES
New York MEDICAID 01976585

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