Kenneth H Petersel Md Pc | |
1617 Front St East Meadow NY 11554-2345 | |
(516) 794-1330 | |
Not Available |
Full Name | Kenneth H Petersel Md Pc |
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Speciality | Internal Medicine |
Location | 1617 Front St, East Meadow, New York |
Authorized Official Name and Position | Lois Petersel (OFFICE MANAGER) |
Authorized Official Contact | 5167941330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kenneth H Petersel Md Pc 1617 Front St East Meadow NY 11554-2345 Ph: (516) 794-1330 | Kenneth H Petersel Md Pc 1617 Front St East Meadow NY 11554-2345 Ph: (516) 794-1330 |
NPI Number | 1750544771 |
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Provider Enumeration Date | 07/09/2008 |
Last Update Date | 07/09/2008 |
Identifier | Type | State | Issuer |
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1750544771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 137623 (New York) | Primary |
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