Eric L Peterson Dds Pc | |
225 Scottwood Ave Elmira Heights NY 14903-1322 | |
(607) 733-3616 | |
(607) 733-1053 |
Full Name | Eric L Peterson Dds Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 225 Scottwood Ave, Elmira Heights, New York |
Authorized Official Name and Position | Eric Laurence Peterson (PRESIDENT) |
Authorized Official Contact | 6077333616 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eric L Peterson Dds Pc 225 Scottwood Ave Elmira Heights NY 14903-1322 Ph: (607) 733-3616 | Eric L Peterson Dds Pc 225 Scottwood Ave Elmira Heights NY 14903-1322 Ph: (607) 733-3616 |
NPI Number | 1639165384 |
---|---|
Provider Enumeration Date | 09/27/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639165384 | NPI | - | NPPES |
02169271 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 049002 (New York) | Primary |
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