Dodge, Peter

Dodge, Peter is an sole proprietor health care provider with primary practice located at 334 W State St , Ithaca NY 14850-5432. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Dodge, Peter can be contacted via phone (607) 273-5500.

Contact Information

Primary practice address
334 W State St Ithaca NY 14850-5432
Phone: (607) 273-5500
Fax: (607) 273-1277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X 077988 New York
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X New York

Profile Details

NPI number 1003116351
LBN Legal business name Dodge, Peter
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2010
Last updated Nov 2nd, 2010 - about 16 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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