Individual
PAMELA J PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
333 ROUTE 25A STE 225, ROCKY POINT, NY 11778-8802
(631) 744-0396
Mailing address
333 ROUTE 25A STE 225, ROCKY POINT, NY 11778-8802
(631) 744-0396
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
488967-1
NY
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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