NPI 1063639169

Peter E. Wharton, RPAC

Practitioner Physician Assistant North Babylon, NY

Practice location

Address: 300 Bayshore Road, North Babylon, NY 11703
Phone: (631) 586-2700
Fax: (631) 491-8799
Mailing address: 76 Knollwood Rd, Huntington, NY 11743-1551

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 001839 (NY)

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Registry record

NPI: 1063639169
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Apr 2007
Record last updated: 7 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.