Individual
DR. REMMY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP-BC
Contact information
Practice address
111 E 80TH ST APT 1B, NEW YORK, NY 10075-0350
(212) 717-4867
Mailing address
208 W 133RD ST APT 5C, NEW YORK, NY 10030-3240
(917) 232-5491
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404467
NY
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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