PETER MA

BRONX, NY
NPI1033463823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  016179)
Enumeration Date2012-11-01
Last Update Date2012-11-01
Business Address
-- PETER MA
1825 EASTCHESTER RD
BRONX, NY 10461-2301
Phone number: 718-904-2400
Mailing Address
-- PETER MA
658 STEWART AVE
STATEN ISLAND, NY 10314-4219
Phone number: 646-431-8186