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Individual

DR. RICHARD PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 MAPLE AVE, SUITE 106, ROCKVILLE CENTRE, NY 11570-4274
(516) 764-2115
(516) 764-1323
Mailing address
55 MAPLE AVE, ROCKVILLE CENTRE, NY 11570-4274
(516) 764-2115
(516) 764-1323

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
156229-1
NY
207L00000X
Anesthesiology Physician
200000933
NC
207L00000X
Anesthesiology Physician
ME78580
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1183224
NY
Enumeration date
06/30/2006
Last updated
12/11/2017
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