Petersen, Matthew
Petersen, Matthew is an individual health care provider with primary practice located at 24 Research Way, Suite 500 , East Setauket NY 11733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Petersen, Matthew can be contacted via phone (631) 444-1910.Contact Information
Primary practice address
24 Research Way, Suite 500
East Setauket NY 11733
Phone: (631) 444-1910
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 011361 | New York |
Profile Details
NPI number | 1710062351 |
---|---|
LBN Legal business name | Petersen, Matthew |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 25th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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