Individual
DR. JOSIAH PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
294319
NY
208000000X
Pediatrics Physician
ML 60561474
WA
Other
Enumeration date
03/31/2015
Last updated
03/19/2019
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