William A Petersen

M.D. | Pediatric Adolescent Medicine | Male

William A Petersen, M.D. is a Latham, New York based Pediatric doctor with medical specialization in Pediatric Adolescent Medicine. Current practice location of William A Petersen is 10 Century Hill Dr, Latham, New York - 12110-2162. He can be contacted on phone at 518-783-5563 and fax number 518-785-5708. William A Petersen is a sole proprietor of his business.
NPI number (Unique professional ID) for William A Petersen is 1881709079 which was assigned by NPPES on 20 Aug, 2006 and it was last updated on 08 Jul, 2007. William A Petersen license number is 080697 for Pediatrics Adolescent Medicine (2080A0000X) in New York.
William A Petersen specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
William A Petersen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Adolescent Medicine
Provider Name :William A Petersen
Credential :M.D.
Gender :Male
Business Address:
William A Petersen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :10 Century Hill Dr
Latham, NY, 12110-2162
United States
Phone Number :518-783-5563
Fax Number :518-785-5708
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1881709079
NPI Entity Type : Individual
First Enrolment Date : 20 Aug, 2006
Last Updated On : 08 Jul, 2007
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for William A Petersen are as mentioned. Primary taxonomy code for William A Petersen, M.D. is 2080A0000X (Pediatrics Adolescent Medicine).
Taxonomy Code SpecialityPrimaryLicense No.State
2080A0000XPediatrics Adolescent MedicineYes080697NY
Legacy Identifiers:
Other legacy medical identifiers of William A Petersen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
000401387001OtherNYBS OF NENY
26208OtherNYMVP
10002804OtherNYCDPHP
00392741MEDICAIDNY
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :10 Century Hill Dr
Latham, NY, 12110-2162
United States
Phone Number :518-783-5563
Fax Number :518-785-5708
Business Location:
Patients can refer following map for directions to William A Petersen practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.