Provider Demographics
NPI:1790951051
Name:FARRINGTON, PETER BRENDAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:BRENDAN
Last Name:FARRINGTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CENTRAL PARK S
Mailing Address - Street 2:SUITE 14B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1628
Mailing Address - Country:US
Mailing Address - Phone:212-593-2662
Mailing Address - Fax:212-337-8867
Practice Address - Street 1:30 CENTRAL PARK S
Practice Address - Street 2:SUITE 14B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1628
Practice Address - Country:US
Practice Address - Phone:212-593-2662
Practice Address - Fax:212-337-8867
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0415191122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist