Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Peter Dehazya, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972126654

Dr. Peter Dehazya, DO is a Student in an Organized Health Care Education/Training Program in Flushing, New York. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5645 Main St
Flushing, NY 11355-5045
Phone: (516) 457-1109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1972126654
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 28, 2020
Last updated in NPPESMay 28, 2020
Certification dateMay 28, 2020
Mailing address31 Idell Rd, Valley Stream, NY 11580-1930

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