Individual
TETA PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 BONAIRE DR, DIX HILLS, NY 11746-6525
(516) 815-3593
Mailing address
37 BONAIRE DR, DIX HILLS, NY 11746-6525
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
805297
NY
163WM0705X
Medical-Surgical Registered Nurse
26NR23172200
NJ
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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