Individual
PAMELA H PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
10 BENTON AVENUE, MIDDLETOWN, NY 10940
(845) 343-7614
(845) 343-5390
Mailing address
2570 ROUTE 9W STE 10, CORNWALL, NY 12518-1370
(845) 220-3100
(845) 534-2940
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F000419
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355931
—
NY
Enumeration date
12/28/2006
Last updated
06/06/2019
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