Provider Demographics
NPI:1942219548
Name:LEGNANI, PETER E (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:E
Last Name:LEGNANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1150 5TH AVE
Mailing Address - Street 2:STE 1B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0724
Mailing Address - Country:US
Mailing Address - Phone:212-369-2490
Mailing Address - Fax:212-831-3031
Practice Address - Street 1:1150 5TH AVE
Practice Address - Street 2:STE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0724
Practice Address - Country:US
Practice Address - Phone:212-369-2490
Practice Address - Fax:212-831-3031
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY204982207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY54N82CW641Medicare PIN
NYG86598Medicare UPIN