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Contact Information

PETER ANDRADE, DO
3371 RICHMOND AVE
STATEN ISLAND, NY10312-2025
 Phone: 929-229-7139
 Fax: 929-229-7139
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PETER ANDRADE · (Male)

NPI # 1417287707
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/08/2010
Last updated 01/03/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MB10124900
  • NY License # 293510
  • Other 12785099 CAQH
  • Other 1417287707 NPI
  • Other 1588246433 NPI
  • Other 1780276816 NPI
  • Other 7430432372 NRCME
  • NJ Other 25MB10124900 NJ MEDICAL LICENSE
  • NY Other 293510 NY MED LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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