NPI 1588163976

Christopher Peralta

Practitioner Prevention Professional New York, NY

Practice location

Address: 55 Water St Emblemhealth, New York, NY 10041
Phone: (646) 447-7155

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence W48T14 (CA)

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Registry record

NPI: 1588163976
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Feb 2018
Record last updated: 12 Feb 2018

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.