Individual
EMILY PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 SQUIRETOWN ROAD, HAMPTON BAYS, NY 11946
(631) 728-5300
Mailing address
PO BOX 1016, HAMPTON BAYS, NY 11946
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F3817801
NY
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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