Erik Baekeland Peterson (NPI# 1558525311, PAC ID# 4880508613) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1558525311 |
PAC ID by PECOS | 4880508613 |
Professional Enrollment ID | I20031117000427 |
Full Name | Erik Baekeland Peterson |
Organization Legal Name | ERIK PETERSON PHYSICAL THERAPY PC |
Address |
100 Montauk Hwy Amagansett NY 11930-2835 |
Phone Number | 6313243200 |
Gender | M |
Credential | PT |
Graduation Year | 2001 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 0749457125 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
100 Montauk Hwy, Amagansett, NY 11930-2835 | 6313243200 | ERIK PETERSON PHYSICAL THERAPY PC |
Organization Legal Name | ERIK PETERSON PHYSICAL THERAPY PC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brenden C Lenahan | Physical Therapy | Erik Peterson Physical Therapy PC | 100 Montauk Hwy, Amagansett, NY 11930-2835 |
Street Address |
100 MONTAUK HWY |
City | AMAGANSETT |
State | NY |
Zip | 11930-2835 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brenden C Lenahan | Physical Therapy | Erik Peterson Physical Therapy PC | 100 Montauk Hwy, Amagansett, NY 11930-2835 |
Name | Specialty | Organization | Address |
---|---|---|---|
Charles Charles Defraia | Internal Medicine | Meeting House Lane Medical Practice PC | 518 Montauk Hwy, Suite 102, Amagansett, NY 11930 |
Gabriella Kovi | Anesthesiology | Meeting House Lane Medical Practice PC | 518 Montauk Hwy, Suite 102, Amagansett, NY 11930 |
James Sherwood | Psychologist, Clinical | 518 Montauk Hwy, Amagansett, NY 11930-0030 | |
Sandra Albukrek | Clinical Social Worker | 518 Montauk Hwy, Amagansett, NY 11930-2110 | |
Randi Cherill | Physical Therapy | 518 Montauk Hwy, Suite 101, Amagansett, NY 11930-2110 | |
Shawn Cannon | Internal Medicine | 518 Montauk Hwy, Amagansett, NY 11930-2110 | |
Anthony John Massimillo | Gastroenterology | Long Island Gastroenterology, PC | 901 Stewart Ave, Suite 235, Garden City, NY 11930-4823 |
Sushil Kumar Sharma | Gastroenterology | Long Island Gastroenterology, PC | 901 Stewart Ave, Suite 235, Garden City, NY 11930-4823 |
Joseph L Tromba | Gastroenterology | Long Island Gastroenterology, PC | 901 Stewart Ave, Suite 235, Garden City, NY 11930-4823 |
City | AMAGANSETT |
Zip Code | 11930 |
Specialty | PHYSICAL THERAPY |
City + Specialty | AMAGANSETT + PHYSICAL THERAPY |
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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.