Provider Demographics
NPI:1275945008
Name:PETER P FERRO DDS PC
Entity Type:Organization
Organization Name:PETER P FERRO DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:FERRO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:212-206-8824
Mailing Address - Street 1:635 MADISON AVE
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1009
Mailing Address - Country:US
Mailing Address - Phone:212-206-8824
Mailing Address - Fax:212-989-7687
Practice Address - Street 1:635 MADISON AVE
Practice Address - Street 2:SUITE 1400
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1009
Practice Address - Country:US
Practice Address - Phone:212-206-8824
Practice Address - Fax:212-989-7687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030153122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty