Provider Demographics
NPI:1073696597
Name:RICHEL, PETER L (MD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:L
Last Name:RICHEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:111 BEDFORD ROAD
Mailing Address - Street 2:KATONAH MEDICAL GROUP PC
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:36 SMITH AVE
Practice Address - Street 2:PETER RICHEL MD
Practice Address - City:MT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549
Practice Address - Country:US
Practice Address - Phone:914-666-6655
Practice Address - Fax:914-242-3544
Is Sole Proprietor?:No
Enumeration Date:2006-10-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY173860208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics