Su, Peter

Su, Peter is an sole proprietor health care provider with primary practice located at 250 Pettit Ave Suite #1, Bellmore NY 11710-3657. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Su, Peter can be contacted via phone (516) 783-1577.

Contact Information

Primary practice address
250 Pettit Ave Suite #1 Bellmore NY 11710-3657
Phone: (516) 783-1577
Fax: (516) 783-1588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 214785 New York

Profile Details

NPI number 1225049414
LBN Legal business name Su, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated Jul 8th, 2007 - about 19 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 1225049414 NPPES
New York MEDICAID 02043456

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