Provider Demographics
NPI:1043328578
Name:HARVEY, PETER FRANCIS (DO)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:FRANCIS
Last Name:HARVEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11940 METROPOLITAN AVE
Mailing Address - Street 2:STE E1
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-2600
Mailing Address - Country:US
Mailing Address - Phone:718-849-0624
Mailing Address - Fax:718-849-4935
Practice Address - Street 1:11940 METROPOLITAN AVE
Practice Address - Street 2:STE E1
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415
Practice Address - Country:US
Practice Address - Phone:718-849-0624
Practice Address - Fax:718-849-4935
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172844207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01656HMedicare PIN
NYE17267Medicare UPIN