| Peter Kelt Md Pc | |
| 
					44 South Ferry Road Shelter Island NY 11964-0880  | |
| (631) 749-3149 | |
| (631) 749-4257 | 
| Full Name | Peter Kelt Md Pc | 
|---|---|
| Speciality | General Practice | 
| Location | 44 South Ferry Road, Shelter Island, New York | 
| Authorized Official Name and Position | Peter Anthony Kelt (PRESIDENT) | 
| Authorized Official Contact | 6317493149 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Peter Kelt Md Pc 700 Hicksville Rd Suite 200b Bethpage NY 11714-3471 Ph: (516) 576-5651  | Peter Kelt Md Pc 44 South Ferry Road Shelter Island NY 11964-0880 Ph: (631) 749-3149  | 
| NPI Number | 1427332873 | 
|---|---|
| Provider Enumeration Date | 10/04/2011 | 
| Last Update Date | 10/04/2011 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1427332873 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | (New York) | Primary | 
Winthrop Community Medical Affiliates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 South Ferry Road, Shelter Island, NY 11964 Phone: 631-749-3149 Fax: 631-749-4257  |