Individual
CLAIRE BARBARA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
821 CLIFF ST, ITHACA, NY 14850-2097
(607) 256-9355
(607) 275-9355
Mailing address
5112 W TAFT RD, STE B1, LIVERPOOL, NY 13088-4975
(315) 452-9420
(315) 452-9132
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012355
NY
Other
Enumeration date
04/17/2013
Last updated
02/23/2018
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