Individual provider · NPI-1

Andrew L Peredo, MD

Plastic Surgery · Huntington, NY

NPI number1043509227
StatusActive
Last updated in NPPESJul 19, 2020

Details

NPI
1043509227
Entity type
Individual (NPI-1)
Name
Andrew L Peredo
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 28, 2011
Certification date
Jul 19, 2020
Last updated
Jul 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic Surgery280821-1NYYes
390200000X Student in an Organized Health Care Education/Training Program280821-1NY
390200000X Student in an Organized Health Care Education/Training ProgramDR.0058741CO

Practice location

110 E Main St Ste 6
Huntington, NY 11743-2845

Phone 631-424-3600

Mailing address

110 E Main St Ste 6
Huntington, NY 11743-2845

Phone 631-424-3600

Other practice locations

Stony Brook Medicine Department Of Surgery
Health Sciences Center T19-030
Stony Brook, NY 11794-8191

Phone 631-444-1791

University Of Colorado Plastic & Reconstructive Surgery
12631 East 17th Ave
Aurora, CO 80045

Phone 303-724-2761

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Plastic Surgery providers in Huntington, NY