Kenneth H Petersel M.D.

NPI 1023085917 - Internal Medicine - 207R00000X

NPI Details
NPI 1023085917
Gender Male
Enumeration Date 03/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1617 FRONT ST
EAST MEADOW NY, 11554-2345, US
Phone (516) 794-1330
Fax (516) 794-1531
Business Location
1617 FRONT ST
EAST MEADOW NY, 11554-2345, US
Phone (516) 794-1330
Fax
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 137623
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According to our database, Dr. Kenneth H Petersel M.D. NPI is 1023085917, taxonomy code is 207R00000X and license number is 137623, license state is located at New York. Kenneth H Petersel M.D. physically located at 1617 Front St, East Meadow NY, 11554-2345. NPI Number Kenneth H Petersel M.D. has the Individual type.

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1023085917 NPI number is provided on an as is basis without warranty of any kind. 1023085917 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth H Petersel M.D. are for informational purposes only.