Leland W Petersen (NPI# 1790902229, PAC ID# 4183714785) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1790902229 |
| PAC ID by PECOS | 4183714785 |
| Professional Enrollment ID | I20071219000804 |
| Full Name | Leland W Petersen |
| Address |
11 Beechwood Dr Glen Head NY 11545-1101 |
| Gender | M |
| Graduation Year | 1975 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11 Beechwood Dr, Glen Head, NY 11545-1101 |
| Street Address |
11 BEECHWOOD DR |
| City | GLEN HEAD |
| State | NY |
| Zip | 11545-1101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dolores J Calcaterra | Psychologist, Clinical | 25 Glen Head Rd, Glen Head, NY 11545-1456 | |
| Rachel R Mcaree | Clinical Social Worker | 1005 Glen Cove Ave, Ll5, Glen Head, NY 11545-1585 | |
| Prudence Emery | Clinical Social Worker | 1007 Glen Cove Ave, Glen Head, NY 11545-1589 | |
| Garry R Dbrant | Chiropractic | 977 Glen Cove Ave, Glen Head, NY 11545-1590 | |
| Tharakaram Ravishankar | Endocrinology | T Ravishankar Md PC | 997 Glen Cove Ave, Glen Head, NY 11545-1593 |
| Chithkala Ravishankar | Registered Dietitian Or Nutrition Professional | T Ravishankar Md PC | 997 Glen Cove Ave, Glen Head, NY 11545-1593 |
| John W Kwiatek | Internal Medicine | 997 Glen Cove Ave, Suite 2, Glen Head, NY 11545-1593 | |
| Ghazanfar W Haidery | Family Medicine | Ghazanfar W. Haidery Md PC | 997 Glen Cove Ave, Glen Head, NY 11545-1593 |
| Nina Gurevich | Psychiatry | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | |
| Linda Rose | Clinical Social Worker | 708 Glen Cove Ave, Suite 301, Glen Head, NY 11545-1655 | |
| Find all physicians in zip 11545 | |||
| City | GLEN HEAD |
| Zip Code | 11545 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | GLEN HEAD + CLINICAL PSYCHOLOGIST |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.