Individual
CODY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-BC
Contact information
Practice address
241 W 57TH ST, NEW YORK, NY 10019-2121
(212) 247-5848
Mailing address
241 W 57TH ST, NEW YORK, NY 10019-2121
(212) 247-5848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
348890
NY
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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