Provider Demographics
NPI:1841536380
Name:SCHRAG, PETER EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:EDWARD
Last Name:SCHRAG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 W 94TH ST
Mailing Address - Street 2:9B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6954
Mailing Address - Country:US
Mailing Address - Phone:212-222-6659
Mailing Address - Fax:
Practice Address - Street 1:250 W 94TH ST
Practice Address - Street 2:9B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6954
Practice Address - Country:US
Practice Address - Phone:212-222-6659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-01
Last Update Date:2013-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY095080207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine