Individual
ERIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
221 JERICHO TPKE, SYOSSET, NY 11791-4515
(516) 496-6400
Mailing address
116 RAILROAD AVE, SAINT JAMES, NY 11780-1943
(631) 807-9989
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
645530-01
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
127781
NY
Other
Enumeration date
04/27/2020
Last updated
11/10/2024
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