Individual
MR. PETER DUPERVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 N VILLAGE AVE STE 114A, ROCKVILLE CENTRE, NY 11570-3701
(917) 560-6951
Mailing address
165 N VILLAGE AVE STE 114A, ROCKVILLE CENTRE, NY 11570-3701
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307331
NY
Other
Enumeration date
09/27/2015
Last updated
09/27/2015
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