Provider Demographics
NPI:1629125232
Name:PELTZ, STEVEN ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ALAN
Last Name:PELTZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:118-21 QUEENS BLVD
Mailing Address - Street 2:SUITE 601
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7490
Mailing Address - Country:US
Mailing Address - Phone:718-261-3663
Mailing Address - Fax:718-261-2285
Practice Address - Street 1:161 MADISON AVE
Practice Address - Street 2:SUITE 3A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3823
Practice Address - Country:US
Practice Address - Phone:646-424-0400
Practice Address - Fax:646-742-0092
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2022-04-12
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Provider Licenses
StateLicense IDTaxonomies
NY176064207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF39168Medicare UPIN
NY97G751Medicare PIN