Provider Demographics
NPI:1528153004
Name:PELHAM, FRANCIS ROCKLAND (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:ROCKLAND
Last Name:PELHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:163 AMSTERDAM AVE
Mailing Address - Street 2:#144
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5001
Mailing Address - Country:US
Mailing Address - Phone:212-772-2400
Mailing Address - Fax:212-772-2459
Practice Address - Street 1:1021 PARK AVE
Practice Address - Street 2:STE 105
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-772-2400
Practice Address - Fax:212-772-2459
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY181533208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY71H4928911OtherPTAN
NYF25113Medicare UPIN
NY71H491Medicare UPIN
NY71H4928911OtherPTAN