Provider Demographics
NPI:1316022635
Name:MABIE, PETER C (MD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:C
Last Name:MABIE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1400 PELHAM PKWY S
Mailing Address - Street 2:AECOM NEUROLOGY, JACOBI 2E16
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1138
Mailing Address - Country:US
Mailing Address - Phone:718-918-6253
Mailing Address - Fax:718-918-7712
Practice Address - Street 1:MMC - DEPT. OF NEUROLOGY
Practice Address - Street 2:1515 BLONDELL AVENUE, STE. 220
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-405-8140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2009-02-04
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Provider Licenses
StateLicense IDTaxonomies
NY1878772084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology