Provider Demographics
NPI:1982761466
Name:HOWLAND, PETER ARDEN (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:ARDEN
Last Name:HOWLAND
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 1:55 EAST 86TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-1059
Mailing Address - Country:US
Mailing Address - Phone:212-876-6652
Mailing Address - Fax:212-831-2218
Practice Address - Street 1:55 EAST 86TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-1059
Practice Address - Country:US
Practice Address - Phone:212-876-6652
Practice Address - Fax:212-831-2218
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0903992084P0800X
NJ25MA055917002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY654101Medicare ID - Type Unspecified
B17570Medicare UPIN