Active NPIIndividual provider

Mrs. Jennifer Peterman

Specialist in Middletown, New York

NPI Number1205190758
Practice location
2277 Goshen Tpke, Middletown, NY 10941-4032
Fax
—
Last updated
June 29, 2012

Jennifer Peterman is a Specialist based in Middletown, NY. Jennifer Peterman practices in Middletown, NY. The NPI Number for Jennifer Peterman is 1205190758 and holds a License No. 522250111 (NY). The current practice location address for Jennifer Peterman is 2277 Goshen Tpke, Middletown, NY 10941-4032 and can be reached out via phone at 845-692-4391.

Provider Profile Details

NPI Number
1205190758
Provider Name
Jennifer Peterman
Provider Entity Type
Individual
Gender
Female
Address
2277 Goshen Tpke, Middletown, NY 10941-4032
Phone Number
845-692-4391
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
June 29, 2012
Last Update Date
June 29, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
2277 Goshen Tpke
Middletown, NY 10941-4032
Zip
10941-4032
Phone Number
845-692-4391
Middletown, NY 10941Get directions →

Provider Business Mailing Address Details

Address
11 Elm St
Chester, NY 10918-1346
City
Chester
State
NY
Zip
10918-1346
Phone Number
845-781-6513

License Information

License Number
522250111
License State
NY
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jennifer Peterman?

The NPI number of Mrs. Jennifer Peterman is 1205190758. It was assigned on June 29, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jennifer Peterman?

Mrs. Jennifer Peterman is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 522250111.

Where does Mrs. Jennifer Peterman practice?

The practice location is 2277 Goshen Tpke, Middletown, NY 10941-4032. The office can be reached at 845-692-4391 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205190758 directly on the NPPES registry website.

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