Individual
CARLY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8000
Mailing address
447 PROSPECT AVE, NEPTUNE, NJ 07753-5629
(732) 299-2597
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
034290
NY
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/28/2025
Last updated
08/18/2025
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