Provider Demographics
NPI:1972660041
Name:REMENY, PETER
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:REMENY
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:PETER
Other - Middle Name:
Other - Last Name:REMENY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:118 HARRIS AVE
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1317
Mailing Address - Country:US
Mailing Address - Phone:516-295-1440
Mailing Address - Fax:516-295-2644
Practice Address - Street 1:16024 WILLETS POINT BLVD
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-3342
Practice Address - Country:US
Practice Address - Phone:718-746-4399
Practice Address - Fax:516-295-2644
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT002850152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0548713OtherAETNA INSURANCE PROV ID#
NY00331282Medicaid
NY00331282Medicaid
NY82760Medicare ID - Type UnspecifiedID #