Provider Demographics
NPI:1225395064
Name:PEER PAIN MEDICINE PLLC
Entity Type:Organization
Organization Name:PEER PAIN MEDICINE PLLC
Other - Org Name:GERALD L PEER MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:PEER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-838-0640
Mailing Address - Street 1:1230 EGGERT RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4156
Mailing Address - Country:US
Mailing Address - Phone:716-838-0640
Mailing Address - Fax:716-838-0787
Practice Address - Street 1:1230 EGGERT RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4156
Practice Address - Country:US
Practice Address - Phone:716-838-0640
Practice Address - Fax:716-838-0787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2017-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY154046208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty