Organization
PETER PATETSIOS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER PATETSIOS MD (OWNER)
(516) 570-6818
Entity
Organization
Contact information
Practice address
900 NORTHERN BLVD, SUITE 140, GREAT NECK, NY 11021-5337
(516) 570-6818
Mailing address
900 NORTHERN BLVD, SUITE 140, GREAT NECK, NY 11021-5337
(516) 570-6818
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
11/23/2016
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