Individual
DR. LOUIS JOHN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
80 5TH AVE, SUITE1204, NEW YORK, NY 10011-8002
(212) 242-3210
Mailing address
80 5TH AVE, SUITE1204, NEW YORK, NY 10011-8002
(212) 242-3210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
010393
NY
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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