Wistreich, Peter Michael
Wistreich, Peter Michael is an sole proprietor health care provider with primary practice located at 267 S Boulevard , Nyack NY 10960-4114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wistreich, Peter Michael can be contacted via phone (914) 217-6450.Contact Information
Primary practice address
267 S Boulevard
Nyack NY 10960-4114
Phone: (914) 217-6450
Fax: (845) 358-3686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 150164 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 150164 | New York |
Profile Details
| NPI number | 1649544081 |
|---|---|
| LBN Legal business name | Wistreich, Peter Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2012 |
| Last updated | Mar 2nd, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649544081 | NPPES |
| New York | Other | 150164 | STATE LICENSURE |
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