Individual provider · NPI-1

Peter Douglas Angevine, M.D.

Neurological Surgery · New York, NY

NPI number1255384236
StatusActive
Last updated in NPPESJan 5, 2016

Details

NPI
1255384236
Entity type
Individual (NPI-1)
Name
Peter Douglas Angevine
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 18, 2006
Last updated
Jan 5, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological Surgery214404NYYes

Practice location

710 W 168th St
Room 510
New York, NY 10032-3726

Phone 212-305-1550 · Fax 212-342-6850

Mailing address

710 W 168th St
Room 510
New York, NY 10032-3726

Phone 212-305-1550

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