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Organization
KENNETH H PETERSEL MD PC
Active
Organization
KENNETH H PETERSEL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS PETERSEL (OFFICE MANAGER)
(516) 794-1330
Entity
Organization
Contact information
Practice address
1617 FRONT ST, EAST MEADOW, NY 11554-2345
(516) 794-1330
Mailing address
1617 FRONT ST, EAST MEADOW, NY 11554-2345
(516) 794-1330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
137623
NY
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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