institution
D T Peterson Dpm Pc
Foot Surgery Podiatrist in Woodbury, New York
NPI 1376845669

D T Peterson Dpm Pc is a Foot Surgery Podiatrist based in Woodbury, NY and is specialized in Foot Surgery. D T Peterson Dpm Pc practices in Woodbury, NY. The NPI Number for D T Peterson Dpm Pc is 1376845669 and holds a License No. N004585 (New York).

The current practice location address for D T Peterson Dpm Pc is 8029 Jericho Tpke, Woodbury, NY and can be reached out via phone at 516-496-0900 and via fax at 516-496-0901.

Location: 8029 Jericho Tpke, Woodbury, NY, 11797-1212
institution
Provider Profile Details
NPI Number
1376845669
Provider Name
D T Peterson Dpm Pc
Credential
Provider Entity Type
Organization
Address
8029 Jericho Tpke, Woodbury, NY, 11797-1212
Phone Number
516-496-0900
Fax Number
516-496-0901
Provider Enumeration Date
11/19/2010
Last Update Date
09/14/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
01349628-3 05 NY
institution
Provider Business Practice Location Address Details
Address
8029 Jericho Tpke
City
State
Zip
11797-1212
Phone Number
516-496-0900
Fax Number
516-496-0901
person
Provider Business Mailing Address Details
Address
8029 Jericho Tpke
City
State
Zip
11797-1212
Phone Number
516-496-0900
Fax Number
516-496-0901
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
N004585 (New York)
Definition
Definition to come...
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