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
Fax: (845) 358-3686
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649544081 NPPES
New York Other 150164 STATE LICENSURE

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