Individual
DR. DONALD THORGEIR PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8029 JERICHO TPKE, WOODBURY, NY 11797-1212
(516) 496-0900
(516) 496-0901
Mailing address
8029 JERICHO TPKE, WOODBURY, NY 11797-1212
(516) 496-0900
(516) 496-0901
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N4585
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013496283
—
NY
Enumeration date
06/23/2006
Last updated
09/05/2024
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