Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 261300 | NY |
NPI | 1063560092 |
---|---|
Provider Name | Christian Georges Peyre |
First Address | Rochester, NY 14642-8410 |
Second Address | Rochester, NY 14642-8410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 01/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03417021 | (05) | NY |