DR. Peter Su, M.D.

NPI #1225049414 in Bellmore, New York

Provider Information

NPI Number: 1225049414
Entity Type: Individual
Name: DR. Peter Su, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Aug 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 250 PETTIT AVE
Address 2: SUITE #1
City: Bellmore
State: New York
ZIP Code: 11710-3657
Phone: (516) 783-1577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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