Individual
ERIC PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
18 LINCOLNDALE RD, BRADFORD, PA 16701-3106
(716) 378-9166
Mailing address
18 LINCOLNDALE RD, BRADFORD, PA 16701-3106
(716) 378-9166
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
090507
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00635098
—
NY
Enumeration date
06/16/2015
Last updated
07/07/2026
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