Peterson, Donald Thorgeir

Peterson, Donald Thorgeir is an individual health care provider with primary practice located at 8029 Jericho Tpke , Woodbury NY 11797-1212. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Peterson, Donald Thorgeir can be contacted 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:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N4585 New York

Profile Details

NPI number 1649206558
LBN Legal business name Peterson, Donald Thorgeir
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Nov 19th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649206558 NPPES
New York MEDICAID 013496283

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