Individual
CATHERINE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3505 21ST ST, APT 6 F, ASTORIA, NY 11106-4770
(718) 729-9305
Mailing address
3505 21ST ST, APT 6 F, ASTORIA, NY 11106-4770
(718) 729-9305
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
294554
NY
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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