Individual
ALICIA R PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU D
Contact information
Practice address
777 LARKFIELD RD, SUITE 108, COMMACK, NY 11725-3136
(631) 543-4327
Mailing address
777 LARKFIELD RD, SUITE 108, COMMACK, NY 11725-3136
(631) 543-4327
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
002137-1
NY
231H00000X
Audiologist
Primary
—
VA
Other
Enumeration date
05/02/2006
Last updated
02/29/2008
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