Individual
AMY MARIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FCP, RDMS
Contact information
Practice address
31 FAIR ST, COLD SPRING, NY 10516-3005
(908) 500-1695
Mailing address
31 FAIR ST, COLD SPRING, NY 10516-3005
(908) 500-1695
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
811795691
NY
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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