Peter Su in Bellmore - Specialist

Peter Su - NPI 1225049414

Peter Su is a Specialist in Bellmore, New York. Peter Su practices all healthcare services and medical treatments related to Specialist. The NPI Number for Peter Su is 1225049414. The last update date is 2007-07-08.

Peter Su's current location address is 250 Pettit Ave, Bellmore, New York. You can contact this provider via phone number 5167831577 and fax number 5167831588. The mailing address for Peter Su is 250 Pettit Ave, Bellmore, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter Su
Address 250 Pettit Ave, Bellmore, New York
Phone Number 5167831577
Fax Number 5167831588
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1225049414
Provider Enumeration Date 2006-08-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 250 Pettit Ave
City Bellmore
State New York (NY)
Post Code 117103657
Phone Number 5167831577
Fax Number 5167831588

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 214785
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2043456 NY --

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FAQs about Peter Su

What is the unique identifier code issued to Peter Su by the Centers for Medicare & Medicaid Services (CMS)?

The Peter Su has been assigned the NPI (National Provider Identifier) 1225049414. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Peter Su's facilities are geographically located?

The facilities of Peter Su are physically situated at the following location: 250 Pettit Ave, Bellmore, NY, 117103657.

What is Peter Su's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Peter Su is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date was the 1225049414 assigned to Peter Su?

The Peter Su was issued its 1225049414 on 2006-08-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Peter Su most recently updated?

The details pertaining to the Peter Su, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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