Organization
PETERSON MEDICAL SUPPLY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIK BAEKELAND PETERSON PT (PRESIDENT)
(631) 324-3200
Entity
Organization
Contact information
Practice address
400 PANTIGO RD, EAST HAMPTON, NY 11937-2699
(631) 324-3200
(631) 324-3676
Mailing address
PO BOX 2835, AMAGANSETT, NY 11930-2835
(631) 324-3200
(631) 324-3676
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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