Individual
MR. PETER DAVID FETIAK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 MAPLE AVE STE 201, SMITHTOWN, NY 11787-3520
(631) 306-4284
Mailing address
2 TREE CT, EAST SETAUKET, NY 11733-1015
(631) 689-8441
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
05-P127291-01
NY
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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