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Individual
DR. STEPHEN J PETERSON
Active
Individual
DR. STEPHEN J PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
165002
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01009365
—
NY
01
—
0492111
AETNA HMO
NY
01
—
110123567
RAILROAD MEDICARE
NY
01
—
1201593
UNITED HEALTHCARE
NY
01
—
4622237
AETNA PPO
NY
01
—
68D251
BCBS OF NY WHITE PLAINS
NY
01
—
WP722
OXFORD
NY
Enumeration date
02/13/2006
Last updated
06/24/2024
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