Individual
ERIK PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
156 WEST AVE, EMERGENCY DEPARTMENT, BROCKPORT, NY 14420-1229
(585) 395-6095
(585) 395-6017
Mailing address
156 WEST AVE, EMERGENCY DEPARTMENT, BROCKPORT, NY 14420-1229
(585) 395-6095
(585) 395-6017
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
174771
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01477554
—
NY
01
—
174771-6W
WORKER'S COMPENSATION
NY
Enumeration date
06/28/2006
Last updated
01/05/2023
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