Peterson, Monte H

Peterson, Monte H is an individual health care provider with primary practice located at 275 8Th Ave , New York NY 10011-1611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Peterson, Monte H can be contacted via phone (212) 463-0102.

Contact Information

Primary practice address
275 8Th Ave New York NY 10011-1611
Fax: (212) 463-0952
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 150010 New York

Profile Details

NPI number 1346375284
LBN Legal business name Peterson, Monte H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Sep 17th, 2012 - 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 1346375284 NPPES
New York MEDICAID 00835378

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