Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 028204 | CT |
Y | 208000000X | Pediatrician | 151842 | NY |
NPI | 1003991308 |
---|---|
Provider Name | Dr. Peter Jeffrey Acker |
First Address | Rye Brook, NY 10573-2820 |
Second Address | Rye Brook, NY 10573-2820 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 26/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13-3046781 | TAX ID (01) | |
WP820 | OXFORD PROVIDER ID (01) |