| Peter M. Pasley, M.d., Llc | |
|
1339 York Ave New York NY 10021-4707 | |
| (917) 656-3087 | |
| (973) 746-9231 |
| Full Name | Peter M. Pasley, M.d., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1339 York Ave, New York, New York |
| Authorized Official Name and Position | Peter M. Pasley (OWNER) |
| Authorized Official Contact | 9176563087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter M. Pasley, M.d., Llc 21 Prescott Ave Montclair NJ 07042-5029 Ph: (917) 656-3087 | Peter M. Pasley, M.d., Llc 1339 York Ave New York NY 10021-4707 Ph: (917) 656-3087 |
| NPI Number | 1083036685 |
|---|---|
| Provider Enumeration Date | 01/16/2014 |
| Last Update Date | 01/16/2014 |
| Medicare PECOS PAC ID | 8628209244 |
|---|---|
| Medicare Enrollment ID | O20140325001235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083036685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 217034 (New York) | Primary |
| Provider Name | Peter M Pasley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104840503 PECOS PAC ID: 1254384159 Enrollment ID: I20050302000626 |
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