Peredo, Andrew L
Peredo, Andrew L is an individual health care provider with primary practice located at 110 E Main St Ste 6 , Huntington NY 11743-2845. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Peredo, Andrew L can be contacted via phone (631) 424-3600.Contact Information
Primary practice address
110 E Main St Ste 6
Huntington NY 11743-2845
Phone: (631) 424-3600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 280821-1 | New York |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | DR.0058741 | Colorado |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 280821-1 | New York |
Profile Details
| NPI number | 1043509227 |
|---|---|
| LBN Legal business name | Peredo, Andrew L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2011 |
| Last updated | Jul 19th, 2020 - about 6 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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