Individual
ANTOINETTE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 STATE ROUTE 22, CAMBRIDGE, NY 12816-1281
(518) 796-1245
Mailing address
1113 STATE ROUTE 22, CAMBRIDGE, NY 12816-2601
(518) 796-1245
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
529923
NY
163WC1500X
Community Health Registered Nurse
529923
NY
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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