D T Peterson Dpm Pc

LBN: D T Peterson Dpm Pc
D T Peterson Dpm Pc is an health care organization with primary practice located at 8029 Jericho Tpke , Woodbury NY 11797-1212. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. D T Peterson Dpm Pc can be contacted via phone (516) 496-0900, or through Peterson, Donald Thorgeir via phone (516) 496-0900.

Contact Information

Primary practice address
8029 Jericho Tpke Woodbury NY 11797-1212
Phone: (516) 496-0900
Fax: (516) 496-0901
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Donald Thorgeir Doctor of Podiatric Medicine (DPM)
Phone: (516) 496-0900

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N004585 New York

Profile Details

NPI number 1376845669
LBN Legal business name D T Peterson Dpm Pc
DBA Doing business as
Authorized official Peterson, Donald Thorgeir Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2010
Last updated Nov 29th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376845669 NPPES
New York MEDICAID 01349628-3

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