Individual
DR. PETER N VAN DER RIET
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3909
(607) 547-6325
Mailing address
3050 ROUTE 50, FL 2, SARATOGA SPRINGS, NY 12866-2958
(607) 547-3909
(607) 547-6325
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
001809
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02365066
—
NY
Enumeration date
04/13/2006
Last updated
05/29/2018
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