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Individual

CHRISTINE J. PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1036
(212) 517-4881
Mailing address
PO BOX 27578, NEW YORK, NY 10087-7578
(631) 329-6925
(631) 329-6951

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
236799
NY
208VP0000X
Pain Medicine Physician
Primary
236799
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03209318
NY
Enumeration date
09/09/2009
Last updated
04/12/2021
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