Individual
PETERKIN LEE-KWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3775 SENECA ST, WEST SENECA, NY 14224-3434
(716) 712-0890
(719) 712-0933
Mailing address
3775 SENECA ST, WEST SENECA, NY 14224-3434
(716) 712-0890
(719) 712-0933
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
206950
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01721420
—
NY
Enumeration date
03/14/2006
Last updated
02/13/2009
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