Individual
MR. DOUGLAS PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.SC., L.AC
Contact information
Practice address
333 E 46TH ST APT 1J, NEW YORK, NY 10017-7426
(917) 217-8391
Mailing address
425 E 58TH ST APT 21D, NEW YORK, NY 10022-2379
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006347-1
NY
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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