Individual
DR. PETER GREGG MICHAELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
59 SOUTHERN BLVD, NESCONSET, NY 11767-1090
(934) 213-5000
(631) 892-3513
Mailing address
59 SOUTHERN BLVD, NESCONSET, NY 11767-1090
(934) 213-5000
(631) 892-3513
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
334418
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2720158
—
OH
Enumeration date
08/24/2006
Last updated
11/12/2025
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