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 |
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| Provider Name : | William A Petersen |
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| Credential : | M.D. |
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| Gender : | Male |
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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 |
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| Phone Number : | 518-783-5563 |
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| Fax Number : | 518-785-5708 |
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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 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Aug, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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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 | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 080697 | NY |
Legacy Identifiers:
Other legacy medical identifiers of William A Petersen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000401387001 | Other | NY | BS OF NENY |
| 26208 | Other | NY | MVP |
| 10002804 | Other | NY | CDPHP |
| 00392741 | MEDICAID | NY | |
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 |
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| Phone Number : | 518-783-5563 |
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| Fax Number : | 518-785-5708 |
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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.