License holder summary

FORMICA PETER is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for FORMICA PETER is DOUGLASTON NY. This doctor license is current. The license was granted 02/11/1977 and expired on 09/30/2017.

New York

Office of the Professions

FORMICA PETER
Medicine (Physician, Including M Ds & D Os)
License number
129859
Date granted
02/11/1977
Date expires
09/30/2017
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
DOUGLASTON NY
nymedicine.org
ID 30142206
LAST UPDATED 2026-04-02 12:48:46 UTC

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