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Individual

MR. ANDREW CRAIG PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPA-C

Contact information

Practice address
5959 BIG TREE RD, SUITE 108, ORCHARD PARK, NY 14127-2291
(716) 204-3200
(716) 829-2138
Mailing address
5500 MAIN ST, SUITE 107, WILLIAMSVILLE, NY 14221-6755
(716) 204-3200
(716) 829-2138

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012602
NY

Other

Enumeration date
07/10/2008
Last updated
03/16/2016
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